Part B Coding Coach: Upgrade Your Lab Coding Knowledge With 5 Expert Tips

Why This Topic Matters

Laboratory claims are frequent sources of denials and audit risk, so understanding the major coding and documentation issues can help practices reduce errors and avoid repayment problems. This topic is especially relevant for offices that bill Medicare and other payers for common diagnostic tests.

Article Sections

1. Use Modifier -91 For Same-Day Series

   Introduces same-day repeat testing for laboratory services and discusses when the topic becomes relevant in physician-ordered testing scenarios. The section uses a blood test example to frame the issue.

2. Don't Waive Without -QW

   Explains the relationship between CLIA-waived laboratory status and lab reporting considerations for office-based testing. It also discusses how test complexity affects where a specimen may be processed.

3. Hit The Right Code Every Time For Venipuncture

   Covers blood-draw and specimen collection reporting for venipuncture and related collection situations. The section also notes a deletion and a nonpayable collection code in the Medicare context.

4. Prove Your License To Unbundle Lipid Panels

   Addresses bundled laboratory edits involving lipid testing and direct measurement of LDL-related reporting. It also highlights the importance of documentation when separate reporting is considered.

5. Take Control of Thyroid Testing

   Summarizes general thyroid laboratory testing topics, including Medicare frequency limitations and the need to report tests individually. It also touches on common thyroid test categories and related edit issues.