Please help,
Medicare has not paid any of our 81002, 85610 services, they paid the E/M = 99214, 99213 or 99215's. Can anyone tell me why?
The Dx I used for 81002' s = UTI's, or hematuria's
PT/INR's = 427.31
Thank you.
Hi,
Medicare does not pay for urine dip-81002
Medicare pays for urine dip plus microscopy-81000
Only for ketones -without microscopy done-but rare- can give in the case of
diabetes patients -type II
Medicare will probably pay for lab tests related to diabetic care if those tests are supported by a
diagnosis code(s) indicating diabetes and/or a pertinent symptom.
Urine albumin and microalbumin. Select from the following CPT codes as appropriate:
81000: Urinalysis, by dip stick or reagent tablet for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, PH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy
81002: Non-automated, with microscopy
CPT 99211 is used to report a low level E/M service. If this E/M code is billed along with CPT code (85610), the medical record must demonstrate that the E/M service was performed and was medically necessary. The medical report should identify significant new symptoms for which the patient needed to be seen.
Usually, hypertension can support better medical necessity for prothrombin- time.