Laboratory Question for the Week of October 4, 2021

Question:

What different types of classifications determine the medical necessity for reflex testing?

Answer:

Reflex testing, confirmatory testing, and group tests are compliance issues associated with immunology. According to the NCCI policies, there are two different classifications of reflex testing that determine the medical necessity for performance and billing of an add-on test:

Positive test results that may have clinical value without additional testing; and
Positive test results that require additional testing in order to have a clinical value.

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TAGS: CPT, Laboratory

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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Laboratory Question for the Week of October 4, 2021

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