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Wiki Molecular Panels for Infectious Disease Pathogen ID testing

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aharper4101

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Hello I am receiving denials from Humana when I attempt to bill out 87471,87481,87500,87551,87541,87651,87653, and 87798. They state that there is a coding issue and refer me to CMS. When I look at CMS they state that when 2 or more are billed from group 8 codes - ( which they all are except 87500) they are not covered on the same DOS if the for the same intended use. Can any one offer any insight as to what codes I should be using. I know for 87798 some payors are looking for us to bill out 87801, and CMS advises if we use modifier 59 we would be subject to medical review. Thank you.
 
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