For Indiana Medicare we have been told that we can’t bill 80305 and G0480- G0483 together on a claim in the same day? Is there a modifier that needs to be in place or did they possibly process this incorrectly, because I was under the impression that those two codes can be billed together it’s the 80307 that can’t be. Can someone please help me with this it’s not saying it on the LCD anywhere on IN Medicare’s web site so I need to get this figured out at soon as possible. I really appreciate it.
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CMS discovered systems errors affecting claims with new drug testing laboratory codes (HCPCS codes G0477 through G0483) with dates of service on or after January 1, 2016. Your Medicare Administrative Contractor (MAC) will be holding these claims until April 4, 2016. No provider action is required. However, should you wish to avoid your claims from being held, you can remove codes G0477 through G0483 and submit the rest of the services on the claim. When the system is updated in April, you can submit an adjustment claim to add these HCPCS codes. Your MAC will correct any claims previously returned to you in error with these codes and reason code W7006 after the system is updated
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Tag Archives: G0483
80307 and G0483 – Billing
Hi,
As everyone knows that UDS (80307 – detect the presence of drugs or drug classes
in urine ) and UDC (G0483 – (Identify the specific drug in the Urine, A final diagnosis that is made after getting the results of tests) codes.
As everyone knows that UDS (80307 – detect the presence of drugs or drug classes
in urine ) and UDC (G0483 – (Identify the specific drug in the Urine, A final diagnosis that is made after getting the results of tests) codes.
Now, my question is do we billed them together on the same DOS, because 80307 once it gets positive then only lab performs G0483 .
Note : our providers order them together everytime!
I got several rejections on it and insurance companies sometimes pays only 80307.
Any input is helpful.
Thank You.
G0483
Hello All,
i just want to know in code G0483 which 22 cpts are included ?
please help me for this .
thank you.
vidya
Medicare will hold HCPCS codes G0477 through G0483 till April 04, 2016
CMS discovered systems errors affecting claims with new drug testing laboratory codes (HCPCS codes G0477 through G0483) with dates of service on or after January 1, 2016. Your Medicare Administrative Contractor (MAC) will be holding these claims until April 4, 2016. No provider action is required. However, should you wish to avoid your claims from being held, you can remove codes G0477 through G0483 and submit the rest of the services on the claim. When the system is updated in April, you can submit an adjustment claim to add these HCPCS codes. Your MAC will correct any claims previously returned to you in error with these codes and reason code W7006 after the system is updated