Wiki urinalysis

[jhutchens]

Is anyone having trouble with 81002 being denied as included with procedure....even an office visit?

 

[beringer49]

Yes with MCR, MDCD, and many commercial insurance companies such as BCTX, UMR, AETNA. They will not pay for a UA of any kind that is done the same day as an office visit or offic procedure.

 

[zaidaaquino]

What is the insurance carrier? We find that when we bill level 4 & 5 E&M, usually an ins won't pay. But with some carriers such as Aetna, the u/a will be paid if you attach -25 modifier to the E&M.