sdschuett
New
Hi,
Wondering if anyone out there can advise on the medical coverage for CPT 85025. We have been recently receiving edits regarding needed medical coverage for the lab 85025. Per the NCD there is a list of codes that are NOT medically supported. Is there a list out there somewhere we're overlooking for covered dx? Considering how many times this lab is ordered and all of the sudden we are seeing these Medicare edits when we didn't in the past, it's a little confusing. My co-worker and I were reviewing an account where the patient had HTN, DM, and long term use of anticoagulants/other drugs and would have thought those dx would have covered the lab, but that's not the case. Are we out of luck on getting this covered if there is no ABN on file?
Thanks!!
SS
Wondering if anyone out there can advise on the medical coverage for CPT 85025. We have been recently receiving edits regarding needed medical coverage for the lab 85025. Per the NCD there is a list of codes that are NOT medically supported. Is there a list out there somewhere we're overlooking for covered dx? Considering how many times this lab is ordered and all of the sudden we are seeing these Medicare edits when we didn't in the past, it's a little confusing. My co-worker and I were reviewing an account where the patient had HTN, DM, and long term use of anticoagulants/other drugs and would have thought those dx would have covered the lab, but that's not the case. Are we out of luck on getting this covered if there is no ABN on file?
Thanks!!
SS