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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Lab Billing in Doctor Office setting

Hello all,

Just had a quick question in regards to billing out labs in a doctor office (11) setting.

We use Quest Diagnostics as a lab and one of our providers needed some extensive tests done on a patient. However, the issue lies with the CPT codes being reported/billed being denied.

What was billed out:

Code:

36415 - venipuncture
87081 - C Dif w/ Reflex
83993 - Calprotectin, stool
87045, 87046, 87427 - Sal/Shig/Campy Culture and Shiga toxin test.


Now my issue is that 87081 has a CCI conflict with 87045 and 87046. Is there a modifier I might be able to use to have this reprocessed or should I not bill the less expensive test?

Thank you!

Medical Billing and Coding Forum