lab billing

  1. M

    Wiki Z34.XX vs Z36

    When should Z36, encounter for antenatal screening of mother, codes be used? I'm not understanding the difference between Z34.XX and Z36 codes. In what situation would both be used vs just Z34XX. A lot of our OB providers with code both Z36.89 and Z34.XX. It seems like Z34.XX covers most...
    • MLH614
    • Thread
    • lab billing lab coding ob coding screening z34 z36 z36.89
    • Replies: 1
    • Forum: OB/GYN
  2. N

    Wiki Billing and CLIA Waiver (Clinical Laboratory Improvement Amendments)

    Hello Team Part 1: If there is a name change to a DBA, are we still required to enroll with each payer and bill under the original name listed under the CLIA Waiver? Part 2: If the name is then corrected on the CLIA Waiver, how does the billing work at that point. Do I have to pause billing...
  3. J

    Wiki COVID19 LAB BILLING/ ICD10 CODING/ ADD DIAGNOSIS FROM RESULT REPORT BEFORE BILLING 87635

    LAB CODERS HELP! I WORK FOR AN INDEPENDENT LAB. THEY ARE ASKING WOULD THE LAB EVER ADD U07.1 (CONFIRMED POSITIVE COVID-19) BASED ON POSITIVE TEST RESULTS FROM THE LAB NOT THE PHYSICIAN BEFORE FILING THE CLAIM? FOR EXAMPLE IF THE REQUISITION FORM/ LAB ORDER ONLY INCLUDED ICD10 REASON FOR...
  4. baroquecoder

    Wiki Physician orders for laboratory tests

    Clinic is stating they placed an order for urinalysis 'digitally' so they don't need to submit documentation for the UA. I'm unable to code it as there is no diagnosis or intent for the procedure indicated. What are the documentation requirements for a physician ordered laboratory test...
  5. M

    Wiki Out of Network Billing Strategies for Labs

    Does anyone have any good suggestions on out of network billing strategies to maximize provider collections either from the patient or payer? My experience has been that since the subscriber holds the relationship with the payer, they need to call to negotiate in network repricing. If they...
  6. W

    Wiki Ordering Referring

    Can someone tell me which Types of bills for Part A require an ordering/referring physician on the UB for diagnostic test or DME supplies ordered
  7. N

    Wiki Physician office billing for UDS G0480-0483 with appropriate CLIA- PLEASE HELP!

    I may be making this more complicated than it really is but I need advice from anyone billing for a physician office with an "in-house" lab. My client is a large pain management practice. They recently applied for a high complexity CLIA certificate and were approved. The lab will be in the rear...
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