Question Incomplete Point of Care Test

Messages
3
Best answers
0
I have a provider asking about if they get an invalid test on a point of care test, such as a rapid strep or flu, can they bill for that test? My first reaction is that you can't bill for the invalid test, but would a modifier 53 allow us to be able to bill the test to the insurance?
 

karamac

Networker
Messages
34
Location
Glendale, Arizona
Best answers
0
I would recommend not billing for incomplete or invalid results. Adding a modifier doesn't change the situation because billing the CPT code associated with the test includes the doctors interpretation of that result and it's use in the treatment of the patient.
 
Top