• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki How do I bill for blood draw for BRCA gene testing?

Create Wiki
M

mauadajar

Guest
Messages
27
Best answers
0
Pt was seen for an e/m plus the blood draw. How do I bill it?

Aetna Better Health denied all of these:

99214, 25 and 36415
99214,36415
99214,25 and 36415, 59


They said that there should be a modifier next to 36415. I do not know which one to use.
 
It's payer specific here in Alabama. We bill either a 90 modifier or a 33 modifier depending on the payer.

When billing an office visit with a blood draw, you'll never need a 25 modifier on the office visit.

25 modifier only for injections or minor procedures on the same day,
 
Last edited:
You must log in or register to reply here.
Top