jbartunek1
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Hello -
I work for a genetic testing lab and we currently bill 81225, 81226, 81227 for PGX testing. We have not been able to get NC Medicaid to pay these codes, initially billed with a 59 modifier on the 81226, 81227 as we do with other payers and it was denied for invalid modifier. We then billed them without modifiers and still denied...do you use modifiers and if so which one did you use to get these codes paid?
Thank you for any insight on this issue!
Jennifer
I work for a genetic testing lab and we currently bill 81225, 81226, 81227 for PGX testing. We have not been able to get NC Medicaid to pay these codes, initially billed with a 59 modifier on the 81226, 81227 as we do with other payers and it was denied for invalid modifier. We then billed them without modifiers and still denied...do you use modifiers and if so which one did you use to get these codes paid?
Thank you for any insight on this issue!
Jennifer