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Pathology/Lab Coding Alert

You Be the Coder:

Beware Coverage Frequency Limitations

Question: A physician ordered a weekly hemoglobin A1C test to monitor a patient for diabetes, but we’re getting denials. How should I code the test to get paid?  Georgia Subscriber Answer: Most payers cover hemoglobin A1C testing for diabetes patients only once every three or four months. Your denials could be due to the fact that you don’t meet the payer frequency [...]

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