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Question:
Can we report 88380 in conjunction with 88381?
Answer:
The CPT manual contains the instruction, “Do not report 88380 in conjunction with 88381.” An NCCI edit also indicates that you should not report both codes on the same date of service for the same specimen. When documentation supports billing of both codes, a modifier may be appended to CPT 88380.
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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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