Wiki Billing for quantitative assay test for genetic biomarkers in urine to detect bladder

[Maureen Kielian]

We have been receiving claim denials for this test. In the past a miscellaneous lab code has been used (81479).
What is the correct way to bill for this test?

This is the link to the trade name: http://www.cxbladder.com/for-healthcare-professionals/billing-policy/

This is in PA

Thanks

 

[CodingKing]

From what I can see on at least one payers payment policy that this falls under the unlisted code (not surprising considering how new the test is in the US) . Did it say why it was denied? Was it a Medical Necessity issue? Missing information on claim form?