Results 1 to 2 of 2

Billing for Panels

  1. #1
    Location
    Augusta, GA
    Posts
    29
    Question Billing for Panels
    Medical Coding Books
    I am reviewing a claim and the provider billed each lab separately but all the labs are covered under the panel 80053. Are there any rules in place that state panels must be billed is ALL labs are drawn?

  2. #2
    Default
    Quote Originally Posted by mjm41795 View Post
    I am reviewing a claim and the provider billed each lab separately but all the labs are covered under the panel 80053. Are there any rules in place that state panels must be billed is ALL labs are drawn?

    BCBS? They rebundled it for you. They'll pay the total allowable for 80050 under one code (like 80053), then won't pay anything on 85025 or 84443. Be thankful they did it that way - most payers deny all 3 codes and make you resubmit it as the bundled procedure.

Similar Threads

  1. Lab panels
    By HBULLOCK in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-24-2014, 07:50 AM
  2. unbundling lab panels
    By cynthiaarellano14@yahoo.com in forum Billing/Reimbursement
    Replies: 0
    Last Post: 11-25-2013, 09:53 AM
  3. Chemical Panels
    By jackiemal in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-04-2012, 10:24 AM
  4. Drug Panels
    By johnathan in forum Pathology & Clinical Laboratory
    Replies: 10
    Last Post: 09-17-2009, 07:33 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?

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.