Wiki Bronchial Challenge

[MEB]

Does anyone know how to get Medicare/Medicaid to reimburse for Bronchial Challenges?
I'm coding them as 94070-26 and they are getting denied even though we're only billing for the professional component. The test is done at an outpatient facility and our physicians read the tests.
Am I billing this correctly?

Thank you to anyone who can help!

Mary

 

[danskangel313]

Does anyone know how to get Medicare/Medicaid to reimburse for Bronchial Challenges?
I'm coding them as 94070-26 and they are getting denied even though we're only billing for the professional component. The test is done at an outpatient facility and our physicians read the tests.
Am I billing this correctly?

Thank you to anyone who can help!

Mary

Have you checked your local MAC for any LCDs to see if they're covered? If they are, there may be a diagnosis, documentation, and/or auth requirement.