I need to know what elements are required for 99395. Secondly, a patient came because he wants to have blood work done because of a concern of family history of CAD. The Dr didn’t do any blood work. What elements are required?
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Tag Archives: Genetic
Genetic Cancer Testing
I have a quick question since I am new to Laboratory billing and coding. Our billing company test for Genetic Cancer and we receive a requisition from the doctor which states what test are being ordered. We are only receiving Authorization from the Insurance company on 1 CPT code (81211-BRCA1/BRCA2) out of 24 CPT codes that are on the order. The main questions is are we obligated to bill all CPT codes or can we bill just what we received authorization for from the Insurance company??? Some of the Insurance companies deny the whole claim and say we are testing a panel, but we do have authorization for 1 of the CPT codes. Is there documentation for the answer for I can review and share with my colleagues. Any information would be gratefully appreciated!!
Genetic Billing for Physician and/or Laboratory
Looking for information pertaining to genetic CPT codes. Has anyone billed these codes? If so, how is the reimbursement? Can anyone lead me in the right direction for information concerning this issue?