• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

81025 need help please

T

tossowski

Contributor
Messages
10
Location
Bedford, TX
We had a provider that has used 81025 to screen for testicular cancer. Of course, the payer is rejecting for gender mismatch. I have looked for a temporary code but with no luck. Any suggestions? Will insurances pay for off label testing?:confused:
 
81025 specifically states it is a urine pregnancy test. Would you be able to use 81000-81007 instead? Based on the code descriptions I believe one of those would be more appropirate.
 
I'll sunbelt look into it, but unfortunately they ran a urine pregnancy test. It's an untested theory that is starting to get momentum but still not officially am approved use. Regular clear blue easy pretty much. Thank you so much for your in put.
 
You must log in or register to reply here.
Top