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84999

Tina Posted Thu 28th of July, 2016 10:37:20 AM
Our Docs run a lot of repeat MST's (CPT Code 84999). We stick the baby and send it to the state lab. Since the state lab doesn't bill the parent or the insurance, they bill us, can we bill the insurance? I was always told we could only bill for the stick and handling but I know lots of offices that bill for a test they don't run in their office because the lab bills the doctors' office then the doctor's office bills the patient's insurance. That would apply here correct or not?
SuperCoder Answered Fri 29th of July, 2016 06:26:25 AM
Hi, Yes the lab may bill the doctor's office who further can bill the insurance company, if the doctor is linked with the insurance. You may refer to the following link for reimburement regarding the CPT code 84999 https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/r1209cp.pdf Hope this helps! Thanks.

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