Wiki Technical component - Inpatient hopsital

skumar

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Hi,

Some one can help me out to find the reason for denials, when I code the 88305, 88307 for the inpatient hospital technical component for Medicare. They are denying the charges with reason LCD 27503. Is there any special rule to code the technical component for surgical pathology to code for Medicare patients.

Your input is highly appreciated. Please reply.

Thanks
Suresh
 
I'm a coder, not a biller, but I can see if I can help you find your answer. Are you billing for an independent lab or something different? I work for an independent lab. We cannot bill Medicare for the technical component if the patient is hospital status. The hospital bills Medicare for this service, and we bill the hospital. This link might be helpful: https://www.codeitrightonline.com/c...for-hospital-anatomic-pathology-services.html

Also, if you were given an LCD to reference, did you look up the LCD and compare that to the case you billed?
 
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