General Health Panel - CPT 80050

dcarr

Guest
Messages
39
Best answers
0
Since this is a non-covered lab by Medicare, and individual tests cannot be billed separately, how are your physicians handling this situation? Are most clinics/labs/etc. obtaining an ABN from the patient?
 

jlwatson

New
Messages
4
Best answers
0
I code for lab services and we unbundle the panel for Medicare and bill each included test individually. We bill for the Comprehensive Metabolic Panel, the CBC and the TSH. We have no issues with getting paid when billing this way.
 

cheermom68

Expert
Messages
451
Location
Evansville Indiana
Best answers
0
80050

Medicare allows you to unbundle this code to each individual code, however you must show medical necessity for each code separately. If they are just for screening or an uncovered diagnosis you would need the abn. Check the national coverage determinations for covered diagnosis for each lab as applicable.
 

jamcculley

Contributor
Messages
15
Location
Alvord, TX
Best answers
0
Someone in our office said Medicare will not allow us to bill code 80050 to other insurance companies because "we have to bill everyone the same way." Can someone give me some guidance on this? Thank You
 
Top