dragonclawz70
Networker
Does anybody have luck getting 83036 (hemoglobin A1C) paid for on the same date of service that a CMP or BMP (80053 or 80048) is checked? A lot of these patients have diabetes so it doesn't seem unreasonable to check their hgb A1C. The denials all are either CO16 (claim/service lacks information which is needed for adjudication) or CO50 (noncovered services not deemed medical necessity by payer). We've never billed that test using the QW modifier so I was wondering if that's the key. Thanks for any advice!