Results 1 to 3 of 3

E&M and urinalysis codes

  1. Default E&M and urinalysis codes
    Medical Coding Books
    I have had a problem with Medicare saying claims aren't covered with e&m codes with urinalysis codes 81003,QW and 82570,QW. They are supposed to be covered at our practice so I'm not sure why we have gotten quite a few denials.

    For example: 99213,25 51798 81003,QW 82570,QW

    These codes keep kicking back with not covered but they are. Am I suppose to attach the Labs with it? When I attached the lab report I got it paid. But there is someone in the office questioning why I am attaching labs to the urines when they never did that before. If anyone has had this problem please let me know.

  2. Default
    Are you sure that is the reason for the denial? We are paid for 81000 urinalysis (the only one we do in-office) and E/M codes. We are starting to notice Medicare denials for 81000 and E/M but for the reason of "no medical necessity." This is especially true in the case of prostate CA or elevated PSA. Those are being denied.

  3. Default Modifier 25 Usage
    Since 51798, 81003 and 82570 all carry a XXX global status (global period does not apply), it could be kicking back because you're using a 25 modifier when it probably is not needed. I see no other reason why it would be denied.

Similar Threads

  1. Urinalysis-Medicare GA is
    By sus008 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 11-04-2013, 01:32 PM
  2. urinalysis
    By jhutchens in forum Urology
    Replies: 2
    Last Post: 03-18-2011, 08:17 AM
  3. Urinalysis
    By eandmcoder in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-25-2010, 10:54 AM
  4. Urinalysis Codes
    By mtrandel in forum Family Practice
    Replies: 1
    Last Post: 03-06-2008, 11:48 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.