Basic Medical Coding Tips for Diagnostic Imaging and Laboratory codes 2023:
In this post we go to see Basic Medical Coding Tips for
Diagnostic Imaging and Laboratory codes.
What is Diagnostic Imaging?
If, the treating chiropractic provider refers the
reading or interpretation of a radiology service to a radiologist,
reimbursement for the professional component of that service will only be made
to the radiologist, and the treating chiropractic provider should not bill for
that component.
Component Modifier Description of Services
• Professional 26 Services rendered by a
licensed practitioner to perform the diagnostic interpretation of each study.
It is required to document the diagnostic conclusions of the study by a written
and signed radiology report.
• Technical TC
Radiology services that include providing the facilities, equipment, resources,
personnel, supplies and support needed to perform and produce the diagnostic
study.
• Global N/A Combines both the technical and
professional components in the service provided.
Laboratory
BlueCare, BlueMedicare HMO, BlueMedicare PPO and
BlueOptions members covered in-office laboratory services are restricted to: 81000,
81001, 81002, 82947, 82948, 85014, 85025 all other laboratory services should
be referred to Quest Diagnostics, Inc.
For BlueChoice and Traditional members, members may
be referred to any Florida Blue contracted laboratories, including Quest
Diagnostics.
Laboratory services for select health and musculoskeletal conditions may comprise one or more of the procedure codes on the list of in-office laboratory codes. Reimbursement for routine venipuncture for collection of specimen (36415) is only payable when paired with modifier 90 and when the laboratory sample is drawn in the chiropractor’s office, but the sample is sent to an offsite laboratory for processing.
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