tci ED Coding & Reimbursement Alert - 2005 Issue 12

You Be the Coder: Location Matters for the Guaiac Test

Question:  Can we bill for the guaiac test?Texas SubscriberAnswer: You may be able to bill for this test, depending on where you-re located and what codes you usually report. If you-re in a hospital emergency department setting, you won't be able to bill for it. But if you-re in an urgent care setting, you might.The guaiac test is a lab test for stool or stomach contents. This means that whoever bills for the test must have a CLIA (Clinical Laboratory Improvement Act) license and provide all the equipment, supplies, and expenses that accompany administration of the test...

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