Results 1 to 3 of 3

Billing same set of codes twice for same date of service

  1. Default Billing same set of codes twice for same date of service
    New Call-to-action
    Is a lab provider able to bill the same set of codes twice (84311, 83516, 86140, 87499) on the same date of service if one sample was taken from the left knee and the other from the right knee?

  2. #2
    Yes. Assuming they are two different samples that the same tests were run on. You would just have to bill a modifier 59 or one of the XE,XU,XS,XP modifiers depending on why you ran both samples and who you are trying to get to pay for the service.

  3. #3
    Default reply - billing same set of codes twice for same DOS
    Yes you may bill the tests for each knee, with a necessary modifier, but may I offer my two cents working rejections on how to assist your claim getting out the door for procedures 84311, 83516, 86140, 87499 -
    84311 is a spectrophotometry, analyte not elsewhere specified. Please be sure to add a procedure description.
    I also deal with 83516 all the time and that test could be several different tests - please be sure to add procedure description.
    87499 I'm unsure about - almost seems like an unlisted procedural code but not in either of my CPT books.
    Thanks for listening & have a great evening,

Similar Threads

  1. Billing primary codes/add-on codes on separate claims for same date of service
    By in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-14-2018, 04:25 PM
  2. Billed Date: Date of Service or Date Read?
    By carelitz in forum Cardiology
    Replies: 5
    Last Post: 02-13-2016, 03:26 AM
  3. BILLING HEMOSURE - date of service?
    By lisaevans in forum Gastroenterology
    Replies: 0
    Last Post: 06-07-2013, 01:52 PM
  4. Billing Derm path date of service
    By tholcomb in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 04-24-2013, 12:45 PM
  5. Billing date of service versus date report was read?
    By tawnyagarrett in forum Cardiology
    Replies: 5
    Last Post: 08-21-2012, 08:53 PM

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?


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.