jolifitz
New
Can anyone clarify when multiple units of G0452 - physician interpretation and report of molecular pathology procedures - may be reported for Tier 2 molecular pathology codes. Per NCCI manual chapter X, Pathology/Laboratory Services, pg 18:
?One UOS may be reported for each physician interpretation for each separately listed molecular pathology procedure for each distinct source of a specimen. For Tier 2 molecular pathology CPT codes, a physician should not report more than one UOS for each listed molecular pathology procedure on a specimen from a single source?.
For example:
Description CPT
HBA1/HBA2 DUP/DEL ANALYSIS 81404
HB HBB DUP/DEL ANALYSIS 81403
HBB FULL GENE SEQ 81404
PF-MOLECULAR PATH INTERP G0452
In the above example there are three Tier 2 procedures (HBA1/HBA2 and HBB). Assuming medical necessity and all other requirements for reporting are met; if an interpretation is done on each of the three procedures, can the physician charge G0452 x 3 even though it is from the same source? There are three distinct molecular pathology procedures from this single source (2.5ml of blood).
?One UOS may be reported for each physician interpretation for each separately listed molecular pathology procedure for each distinct source of a specimen. For Tier 2 molecular pathology CPT codes, a physician should not report more than one UOS for each listed molecular pathology procedure on a specimen from a single source?.
For example:
Description CPT
HBA1/HBA2 DUP/DEL ANALYSIS 81404
HB HBB DUP/DEL ANALYSIS 81403
HBB FULL GENE SEQ 81404
PF-MOLECULAR PATH INTERP G0452
In the above example there are three Tier 2 procedures (HBA1/HBA2 and HBB). Assuming medical necessity and all other requirements for reporting are met; if an interpretation is done on each of the three procedures, can the physician charge G0452 x 3 even though it is from the same source? There are three distinct molecular pathology procedures from this single source (2.5ml of blood).