tci Part B Insider - 2003 Issue 13

Diagnosis Codes: Providing ICD-9s for Lab Claims Just Became Your Job, CMS Says 'No' to Suspected Diagnoses

When you order labs, you don't always know what diagnosis the patient will end up having. But that doesn't mean you shouldn't make sure labs use the correct diagnosis when they file claims for their services.   In a duo of mid-June program memos (B-03-045 and B-03-046) the Centers for Medicare & Medicaid Services makes it clear it expects physicians to take a more active role in making sure labs and suppliers bill with correct - and complete - diagnosis codes on claims after Oct. 1.   CMS notes that the Balanced Budget Act requires physicians to provide diagnostic...

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