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CPT Code 87804 & 87420

  1. Post CPT Code 87804 & 87420
    Medical Coding Books
    Hello everyone, for the first time at our clinic we are going to start testing for Cpt 87404 and Cpt 87420, I'm not sure how much i should bill these codes for? can anyone help?

  2. #2
    Most offices go by the Medicare allowable from the fee schedule and add a percentage. The offices where I have worked usually billed 150% of the Medicare allowable to cover the private insurances that may have a higher fee schedule.

  3. Default
    Well I did try using this tool but this is what i get in response "The current Physician Fee Schedule does not price the requested HCPCS Code(s). I guess ill do the research online. Thank you for answering my question.

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