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pgx

  1. J

    Wiki NC Medicaid Billing 81225, 81226, 81227 (PGX)

    Hello - I work for a genetic testing lab and we currently bill 81225, 81226, 81227 for PGX testing. We have not been able to get NC Medicaid to pay these codes, initially billed with a 59 modifier on the 81226, 81227 as we do with other payers and it was denied for invalid modifier. We then...
  2. S

    Wiki PGx Allowables

    Does anyone have any PGx allowables from commercial payers they could share with me? I'm attempting to set up chargemasters for a lab and since Medicare is not currently covering these codes, I have been unable to find allowables. I'm looking for codes like 81400-81402, 81479, etc... Any help or...
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