Wiki 80048 BMP and 80076 HEPATIC PANEL

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brendarae

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when 80048 and 80076 are ordered together, a biller in our group is billing 80053 CMP and 82248 DBILI instead.

I do not do this as none of the tests overlap, no duplication on these 2 panels.

I will, though, if a 80076 hepatic and a 80053 CMP ordered, will only order the CMP and D. Bili as most tests that are on the hepatic are on the CMP.

wondering how another coder handles this, thanks
 
billing 80048 & 80076

Hi, the biller in your group is wrong in doing that.
You may bill 80048 and 80076 together - there are no bundling issues or coding relationships.
When both panels 80076 & 80048 are ordered - do not change 80048 & 80076 to panel 80053 and also bill 82248. That would be wrong. You are unable to bill a panel unless all those individual laboratory tests are done.
Please don't be afraid to reach out and provide/offer help to a fellow biller. I actually had a rep from Medica tell me to do this exact scenario and that type of information provided by them was truly wrong.
Thanks,
Dana Chock, CPC, CCA, CANPC, CHONC, CPMA, CPB
Anesthesia, Pathology & Laboratory Coder
 
thank you for your help, now they (our cooding coordinator) told everyone to start billing the 80053 and 82248 instead of the 80048 and 80076 because insurance denies and wants the more comprehensive code that encompasses both of the panels or the insurance will deny for bundling if we try to bill the two panels separately. We have to do it that way to get paid?! I still do not agree and do not want to code them this way.
 
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