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Occult Stool

  1. #1
    Default Occult Stool
    Medical Coding Books
    Patient was seen on one day, doctor performed a digital rectal exam and an occult stool test was done on that day with the specimen collected from the DRE. The patient was then sent home with two more cards which he brought in the next day. So I have one specimen tested on 1 date, 2 specimens tested on the next date. How do I bill for the service? It was for a colorectal screening.

    Do I not bill for the single specimen tested on the date of the appointment and just bill the 82270 on the following day when the patient brought in the two other cards?
    Heather Winters, CPC, CFPC

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    It's been awhile, but I do believe the test done during the physical is inclusive. To do 3 cards/specimens I think the patient has to take all 3 cards and the specimens must be from 3 consecutive stool samples. In this case, I don't think the DRE and 2 samples from the patient qualify as 82270.
    Just my opinion.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Default Occult Stool
    So do I not charge for any of them?
    Heather Winters, CPC, CFPC

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    I wouldn't, but you might wait for other opinions...
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Location
    Fayetteville, NC
    Posts
    300
    Default
    In my opinion you charge for what was done in the office only. So you can bill 82272 (82270) along with the office visit but nothing for what the patient brought back.
    but I could be wrong.

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