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Blood alcohol test in the ED

Rita Bartholomew

Rita Bartholomew

Guru
Messages
130
Location
Greater Portland (Maine)
We're having an issue with blood alcohol tests in the ED for Medicare patients. With the 2017 changes, we have to code them with G0480 which is for all sources, but they're denying based on the LCD for urine drug tests. Our ED docs are sometimes using alcohol use code rather than alcohol dependence, so those claims are failing medical necessity. Is anyone else encountering this problem? And how are you resolving it?
 
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