kate.charette
Networker
Hello!
I work for a substance abuse treatment facility with a lab and we bill UAs and BACs on a regular basis. We started getting rejects on the 82075 code from Aetna as not eligible for payment. The code is still listed in the 2016 CPT so we thought we were good. However, when I checked the Physician Fee Schedule on the CMS website it returns as no pricing available. (As a side note, if I run the PFS for 2015 it also shows no pricing.)
What gives? What alternatives to BAC testing are out there? I checked HCPCs but nothing really seems to jive there.
Please advise. I'm afraid other payers may follow suit.
Kate Charette, CPC
I work for a substance abuse treatment facility with a lab and we bill UAs and BACs on a regular basis. We started getting rejects on the 82075 code from Aetna as not eligible for payment. The code is still listed in the 2016 CPT so we thought we were good. However, when I checked the Physician Fee Schedule on the CMS website it returns as no pricing available. (As a side note, if I run the PFS for 2015 it also shows no pricing.)
What gives? What alternatives to BAC testing are out there? I checked HCPCs but nothing really seems to jive there.
Please advise. I'm afraid other payers may follow suit.
Kate Charette, CPC