Looking for Guidance for CGx billing for FCSO (Florida Medicare)

lnovakoff

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Hi,

I recently received denials for upper tier moldx codes because I billed two units per line. I had someone call a rep and the rep indicated they were denied because we billed more than one unit per line, and advised to only bill one unit per each CPT per line. Most of my experience says Medicare has a daily limit of two of these units. Is this something particular to this MAC? Looking for any guidance. Thank you.
 
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