Wiki Lab Billing

alysonrs

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Any help would be appreciated.

Currently we have a lab on site. Most of the labs are processed on site, however we do send some out. Can we bill a 36415 in both of these situations. Also, we have billed the 36415, but we are getting denial from mcd stating there should be a modifier...which one is appropriate??

Another lab ? Mcr is bundling 83615 and 80053 when we are billing 85025,82378. I have not been able to find any documentation from CMS stating that these could not be billed together.

a couple of other scenerios:

83615 bundled when 82607, 82728, 82746, and 80053 billed

83615 bundled when 83540 is billed.

Any suggestions????

Thanks,
Alyson
 
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