Question:
What revenue codes are acceptable when reporting the 85XXX series? Is 0300 safe to report?
Answer:
The proper revenue code for the 85XXX series of CPT® is 0305. However, many MACs do not require third-digit specific revenue codes for laboratory coding, and 0300 is generally accepted. Revenue Code 0309 is also acceptable. To be on the safe side, have your patient financial services staff check with your MAC to verify its policy in your state. Some third-party payers may also have policies specifying revenue code requirements for hematology and other laboratory services.
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.
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