Wiki LAB BUNDLING

ksobota

Networker
Messages
66
Best answers
0
For years our Internists used an outside lab that we did billing for. Our docs interpreted all the results except for path samples and we billed the insurance for these outside labs. Recently, they purchased equipment and have their own lab in house for their most common labs but are still sending some to the outside lab.

Not sure how we should bill 80050 General Health Panel (comprised of 85025, 84443, & 80053). In house, we did the 84443 & 80053, but since our lab girl was swamped they had to send out some of the 85025 CBC. All done on the same day from the same draw AND we are billing the CBC from the outside lab.

When billing these, would we still use the bundle code 80050 even though part of it was done at an outside facility? Usually for the outside labs we have to note it was an outside lab in whatever box, but we weren't sure since they're all (inside and outside) being billed by us what to do. Any thoughts would be appreciated!
 
If you are billing for the 80050, all three are included ( 84443, 80053 , 85025). If one is missing, it should be billed accordingly. In your case, if the outside lab is only performing the test for the CBC, not billing it and perhaps you have a contract with them, then you can bill for it as 80050. And also, just a reminder if it
is ( Gov't Ins) the outside labs bills it , except no venipuncture. You would have to bill the venipuncture.
 
Top