Laboratory Question for the Week of July 7, 2025
Bryan Nordley
July 7, 2025
We are a hospital-based laboratory. Can we charge Medicare for handling fees to send samples to a reference lab using code 99001?
We are a hospital-based laboratory. Can we charge Medicare for handling fees to send samples to a reference lab using code 99001?
Do codes 95816 and 95819 include hyperventilation and/or photic stimulation?
Are there any code edits that we should be aware of when applying LT and RT modifiers?
If both low-risk and high-risk HPV types are performed in a single assay, how would we code?
We are still confused about when to use or if to use the LT or RT modifier. Do you have a formula that we could apply based on a scenario?
How do codes 98976 and 98976 differ in reporting from RPM codes?
What are the MUE and MAI values for 88740 and 88741?
Do you have any additional guidelines for modifiers LT and RT?
What is the procedure code when a specific antigen test is ordered as a diagnostic test based on a sign or symptom?
When would we report modifiers LT and RT?
Can code 92950 be billed multiple times per encounter, and which department should be responsible for reporting it?
Why is it important to distinguish between codes 81025 and 84703 when coding pregnancy tests?
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