When we report more than one sensitivity procedure for a single isolate, can we report this using a modifier?
On occasion, it is necessary to perform additional sensitivity studies such as D-Test or beta-lactamase as well as the MIC. The additional testing is typically performed as a confirmation of the MIC results but may also be performed to provide additional information. However, when more than one sensitivity procedure is required for a single isolate, only the most extensive procedure is billable. Do not use a modifier to report multiple sensitivities for a single isolate.
This question was answered in our Coding Essentials for Laboratories. For more hot topics relating to laboratory services, please visit our store or call us at 1.800.252.1578, ext. 2.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
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.
CPT is a registered trademark of the American Medical Association.
Unlock 50% off all 2024 edition books when you order by July 5! Use the coupon code CO5024 at checkout to claim this offer!
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24