scanez
New
Hello everyone! Hoping to get some insight from you all on this. We have a new client that is a pain management doctor, strictly seeing workers comp patients, and has an in office CLIA lab.
Example:
He sees the pt for an office visit 07/1/2020, orders a presumptive lab test (collection date 07/10/2020, actual lab test date 07/10/2020), and if supported, orders a definitive lab test. Definitive lab testing is done same day as presumptive (07/10/2020) per records.
We are unsure if both lab codes (80307+g0403) should be billed on the SAME claim form under LABs tax ix w/ CLIA # in box 23 for DOS 07/10/2020 (actual test date). We are confused as to which date to use for each type of test, and which tax id it goes under, MD Office or the Lab? We rcvd some advice to bill the presumptive under the md and the definitive under the lab. unsure if this is the proper way.
Previous billers are billing 99215 under md tax id dos 07/01, and then 80307 under lab for collection date 07/01/2020, and g0403 under lab for actual testing date 07/10/2020. Is it okay to use the collection date as the presumptive dos, and actual testing date for definitive dos?
We would appreciate any thoughts you have on this subject :]
Example:
He sees the pt for an office visit 07/1/2020, orders a presumptive lab test (collection date 07/10/2020, actual lab test date 07/10/2020), and if supported, orders a definitive lab test. Definitive lab testing is done same day as presumptive (07/10/2020) per records.
We are unsure if both lab codes (80307+g0403) should be billed on the SAME claim form under LABs tax ix w/ CLIA # in box 23 for DOS 07/10/2020 (actual test date). We are confused as to which date to use for each type of test, and which tax id it goes under, MD Office or the Lab? We rcvd some advice to bill the presumptive under the md and the definitive under the lab. unsure if this is the proper way.
Previous billers are billing 99215 under md tax id dos 07/01, and then 80307 under lab for collection date 07/01/2020, and g0403 under lab for actual testing date 07/10/2020. Is it okay to use the collection date as the presumptive dos, and actual testing date for definitive dos?
We would appreciate any thoughts you have on this subject :]