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Does have problems with procedure code 82306 denying for frenquency?

Teresa Posted Thu 05th of January, 2012 18:09:21 PM

82306
Global Days XXX

Vitamin D; 25 hydroxy, includes fraction(s), if performed

SuperCoder Answered Fri 06th of January, 2012 05:32:38 AM

Medicare generally considers vitamin assay panels (more than one vitamin assay) a screening procedure and therefore, non-covered.
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Limitations:
For Medicare beneficiaries, screening tests are governed by statute (Social Security Act 1861(nn)). Vitamin or micronutrient testing may not be used for routine screening.
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Once a beneficiary has been shown to be vitamin deficient, further testing is medically necessary only to ensure adequate replacement has been accomplished. Thereafter, annual testing may be appropriate depending upon the indication and other mitigating factors.
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Medicare is establishing the following limited coverage for CPT codes 82306 and 82652:
252.00–252.02
252.08
252.1
268.0
268.2
268.9
275.3
275.41–275.42
585.3–585.6
588.81
733.00–733.03
733.09
733.90

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