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Professional/Technical component - Lab codes

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kajalgaonkar16

Contributor
Messages
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I need help with laboratory codes getting denied as "payment based on professional/technical component." ,
Examples being - 87653, 80061, 83036, 82947

How do I resolve such denials?
 
Would need more information to be able to help. Are you getting this denial on a 1500 professional claim or on a UB-04 facility claim? Are you billing these with modifiers 26 or TC? What place of service are you using?
 
kajalgaonkar16 said:
The place of service is 11.
It is a 1500 professional claim.
Billed without any modifiers
Click to expand...
If that's the case, then the denial makes no sense to me. Clinical lab tests do not have professional/technical components, so I have no idea what the payer is saying here. I think you would need to contact them for additional information or an explanation. Sorry not to be more help!
 
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