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BILLING FOR FREE TESTOSTERONE CALCULATED

Cathy Posted Wed 23rd of October, 2013 15:11:05 PM

IF REFERRING PROVIDER ORDERS ONLY FREE TESTOSTERONE, WE PERFORM CALCULATED FREE TESTOSTERONE BY CALCULATION OF TOTAL TESTOSTERONE(CPT 84403) AND SHBG (CPT 84270). AS WE DO NOT PERFORM DIRECT FREE TESTOSTERONE, WE CAN NOT USE CPT CODE 84402,BUT CAN WE BILL FOR CALCULATED FREE TESTOSTERONE USING PANEL OF CPT CODES 84403 AND 84270? OR PLEASE EXPLAIN HOW TO BILL.

SuperCoder Answered Thu 24th of October, 2013 08:25:46 AM

Codes 84403 and 84207 for the calculation of free testosterone is the correct way of reporting the service for calculation of free testosterone by calculation of total testosterone and SHBG as suggested by you. The service reportable by 84402 is inclusive in the services denoted by reporting 84403 and 84207.

Cathy Posted Thu 24th of October, 2013 16:34:46 PM

Thank You for explanation.

SuperCoder Answered Thu 24th of October, 2013 16:46:43 PM

You are welcome!

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