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1 Ιουλ 2013 · Procedure and diagnosis coding. [Revised 07-01-13] (a) The Authority uses the Health Care Financing Administration Common Procedure Coding System (HCPCS). This system is a five digit coding system using numbers and letters. Modifiers are used to further identify services.
11 Σεπ 2023 · Eligible SoonerCare providers must be certified under the CLIA program and have obtained a CLIA ID number from CMS and have a current contract on file with the OHCA. Providers performing laboratory services must have the appropriate CLIA certification specific to the level of testing performed.
OHCA is reimbursing laboratory testing for COVID 19 using the following codes established by CMS: Provider Types: 01, 08, 28 U0001 – CDC 2019 Novel Coronavirus (2019-NCOV) real-time RT-PCR Diagnostic Panel (This code to be used for CDC developed tests).
The In-Office Laboratory Testing and Procedures List is a list of laboratory testing/procedure codes that Oxford will consider for reimbursement to its network physicians when performed in their office.
17 Ιουν 2024 · Phlebotomy services involve the collection of blood samples from patients for laboratory testing. The proper utilization of lab CPT codes is crucial in phlebotomy services to ensure accurate billing, coding, and documentation. Here's how lab CPT codes are utilized in phlebotomy services: 1. Ordering Tests. Phlebotomists must be familiar with ...
COVID, Flu A/B, and RSV Panel. Test code: 97636. CPT code (s): 87635 (HCPCS: U0003. U0005 will be added at an additional charge consistent with applicable payer requirements), 87804 (x2), 8467. Methodology: Nucleic Acid Amplification Test (NAAT) include PCR or TMA, Optical Immunoassay.
The lists of covered diagnosis codes for National and Local Medicare Limited Coverage Policies are provided as a guide for determining if the test is reimbursable by Medicare based on the patient's symptoms or medical condition as indicated by the appropriate ICD-CM code.
