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CPT® 0226U in section: Proprietary Laboratory Analyses (PLA) Codes
CPT® Code Set
0226U - CPT® Code in category: Proprietary Laboratory Analyses (PLA) Codes
CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA.
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Additional Code Information includes:
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Save time with a Professional or Facility subscription! You will be able to see the most common modifiers billed to Medicare along with this code.
View historical information about the code including when it was added, changed, deleted, etc. Access to this feature is available in the following products:
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 | CPT® Vignettes illustrate code use through sample patient examples. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. Where appropriate, there are also Pre- and Post-service descriptions. Vignettes are reviewed annually and updated when necessary. 300-400 new vignettes are added each year as codes added, revised and reviewed. Available for over 5000 of the most common CPT codes. Access to this feature is available in the following products:
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Documentation, coding, and billing tips. Access to this feature is available in the following products:
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Lab Fees
| Modifier | Medicare Payment Rate | My Fee | |
|---|---|---|---|
| Facility | (none) | Gapfilled (Carrier-Determined) | (your fee) |
| Non-Facility | (none) | Gapfilled (Carrier-Determined) | (your fee) |
N/E = No fee has been established for this code/modifier combination by CMS.
This section shows APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. Access to this feature is available in the following products:
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View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Fee™ tool. If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Fee™ tool.
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View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below. Access to this feature is available in the following products:
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View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. Access to this feature is available in the following products:
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Cross-A-Code™ (ICD-9/10, CPT, Modifiers, NCCI, NDC, ASA CROSSWALK®) 
crosswalks/crosswalk_content.php?set=CPT&c=0226U
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