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Thread: 80400 acth with 82533 - Modifier?

  1. #1
    Join Date
    Apr 2007
    Posts
    13

    Question 80400 acth with 82533 - Modifier?

    AAPC: CPC Promo
    How do you code 80400 with 82533? Patient had 80400 (for adrenal insufficiency) Under this cpt code is the note "This panel must include the following: Cortisol (82533 x 2)

    The patient's blood was drawn 3 times: 0, 30 minutes, 60 minutes
    So, I believe that I need to use 82533 x3

    3M tells me that 82533 is a component of 80400 and can be billed with the correct modifier. Is -.91 the correct modifier?

  2. #2

    Default 82533

    Hello-

    Did you ever get an answer to this? I am working on a denial for a similar issue.

    Thanks!

  3. #3

    Default

    Shouldn't 82533 be included in the 80400? Hence, you code 80400, 80400-91, etc.

  4. #4
    Join Date
    Apr 2007
    Location
    Brainerd, MN
    Posts
    143

    Default modifier

    You will need to use the 59 modifier when using 82533 with panel code 80400.
    Thanks
    Dana Chock CPC, CCA, CANPC, CHONC
    Anesthesia, Pathology, & Laboratory Coder

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