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Can we bill 36415 for finger sticks or line draws as well as venipuncture?
We noticed that descriptors for both CPT® codes 82803 and 82805 begin with the word “gases,” and had some confusion around measuring. In this case, should it mean that two or more blood gases must be measured? Please advise.
For bone marrow studies, it is appropriate to bill separately for duplicative testing on the same or similar specimens? Also, can we append a modifier if the testing in separate departments or laboratories is for the same antibody?
When applying an “antibody cocktail” which contains two or more separately interpretable antibodies do you have any recommendations to determine applicable billable units of service?
What differences are important to know between code 88305 and 88307 for reporting?
When it comes to reporting cytogenetic studies, is it ok to bill the 8XX99 codes for unlisted procedures?
What do we report for the technical component of flow cytometry tests for identifying specific cell surface or cytoplasmic markers? How do we report additional markers?
In terms of fine-needle aspirate, how do we bill for every pass the pathologist is asked to review for adequacy?
For fine needle aspirate, what code would we report when the cytotechnologist prepares slides from the needle aspirate and returns these slides to the pathologist for immediate evaluation?
When do we report add-on code 88141?
For microbiology services, is interpretation and report for 87XXX codes separately billable?
When can you bill for a manual differential or a pathologist’s review of an abnormal smear?
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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