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Wiki Icm dos

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TWilliam2019

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I need some help coding 93290 (once every 30 days) ex: tc component 12/1/15 dr dictates 12/1/15. claim date used is 12/5/15. but tech has is to be done again 1/3/15 its getting denied bc its with 30 days. My questions is should we use the TC dos or PC dos? Does anyone know where there is guidance and these type of rules? Thanks for your responses Kim
 
Thank you is that for all testing because we have been told to use the dicatated date for testing. Any material wiil be appreciated thanks again
 
Its no different than Lab and Pathology where specimen collection day is the date of service. I'm still looking to see if there is another source for non lab procedures

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R1515CP.pdf\

I don't know if there were any updates since October 2013 but here is a link that says it can be either but there was a push at that time to get Medicare to make it a rule. The best policy is to use the technical component day otherwise you run the risk like this of denials for time limitation on procedures. if it spans into the next month and a patients plan may renew causing a much higher cost share for the patient.

http://www.xifin.com/resources/indu...-professional-component-of-diagnostic-testing
 
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