tci Part B Insider - 2005 Issue 15

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

Do you know all the rules for modifiers -91 and -QW?If you can't figure out when to report a lipid panel and an LDL cholesterol measurement on the same claim, you're not alone.Lab test frequency limits, modifiers and bundling edits are enough to make any coder feel like a mad scientist. Prevent laboratory service claims denials with these five expert  tips on the toughest lab coding issues. 1. Use Modifier -91 For Same-Day Series When your physician performs the same lab test multiple times, you should apply modifier -91 (Repeat clinical diagnostic laboratory test) only if the...

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