Q&A: Appropriate use of modifier -91 for repeat laboratory testing

July 12th, 2022

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This short Q&A addresses repeat laboratory testing and the use of CPT modifier -91 in the context of NCCI edits. It is aimed at coders, billers, and compliance staff who handle laboratory claims and need to understand the general scope of guidance discussed in the article. The piece also notes that the discussion is based on a webinar answer and emphasizes reviewing the full documentation for each individual case.

Why This Topic Matters

Laboratory repeat-testing claims can trigger NCCI edits, so understanding the article’s broad guidance helps coding staff recognize when the topic applies and what kind of official references are involved.

What You Will Learn

  • How the article frames repeat laboratory testing within NCCI edit issues
  • What general coding topic is discussed for repeated laboratory services
  • Which types of supporting references and educational context accompany the answer
  • What kinds of documentation review are emphasized for individual cases

Who Should Read This

  • Medical coders
  • Billing professionals
  • Compliance staff
  • Laboratory coding specialists
  • Revenue cycle teams

Modifiers Discussed

  • CPT: -91

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