KristieStokesCPC
Expert
Can we (family practice) charge for a Hemoccult 82270 if we don't have a CLIA license?
Thanks
Thanks
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Wiki Hemoccult
- Thread starter KristieStokesCPC
- Start date
luv2code
Guest
according to the people in my lab..no you can't. But you may want to check it out with the lab that you commonly use. GOOD LUCK!
KristieStokesCPC
Expert
Could we if we had a CLIA license or am I correct in understanding that all the 8000 codes are strictly Path/Lab codes only?
ARCPC9491
True Blue
In order to bill and receive payment for certain laboratory tests in the 80xxx series, yes, you will need a CLIA number in order to get paid - for Medicare and Medicaid. Keep in mind, CLIA is maintained by CMS. If a CLIA waived lab is billed to Medicare or Medicaid - you HAVE to have a CLIA number on the claim to get paid. Some private payors, don't require this.
KristieStokesCPC
Expert
Great...thank you. It's for a private insurance. I actually just got paid today on it from BCBS Florida, so that answered my question when I got my remits in this afternoon.... Thank you all! 
