If you are just collecting the specimen and not actually transporting to the lab, you cannot charge for 99000.
Here is the lay description: This code is adjunct to basic services rendered. The physician reports this for the handling and/or conveyance of a specimen from the physician's office to a laboratory.
There's a misconception that you can use this code for "specimen handling" only - but there's the second part for the handling/conveyance to the laboratory itself.
But if you do transfer to the lab, by all means bill it. But, we use it one time only, no matter how many specimens are collected. It just seems right and logical. I don't really have an explanation, except for like you said about the payment issues, they bundle it anyway, so your write offs are just going to be higher if you are charging it multiple times.
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