• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Pathology denials

Create Wiki
J

jonnasummers

New
Messages
4
Location
Springdale, AR
Best answers
0
I haven't coded dermatology pathology for quite a few years and could use some help getting back up to speed. We have dermapathologists on staff and I'm having a hard time getting 88305 paid for her.
Ex: Dermatologist performed a 11642
Pathologist performed 88305 X1 unit

Insurance denied 88305 as bundled.
Are these a lost cause or is there a way to get it paid?
 
We also have a pathologist on site and we bill with modifier 26 and service location is 11. We get paid with no issue.
If you bill 88305 w/o modifier, it will consider global and service location should be a lab facility.
 
You must log in or register to reply here.
Top