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Kathy Posted Mon 22nd of January, 2018 18:03:07 PM
It has been my understanding that it is only appropriate to bill for 1 unit of 82272, FOBT. Would you please provide me documentation supporting the utilization & billing for CPT 82272? Thanks.
SuperCoder Answered Tue 23rd of January, 2018 05:31:31 AM

Hi,

To check whether we can report a code more than once on a Date of Service, we check MUE of that code.  MUE of code 82272 is 1, which means you cannot report this code more than once on a particular date of service.

If a patient presents to the office with symptoms, the gastroenterologist would perform a diagnostic FOBT, and you should bill it with 82272. CPT 82272 can be billed if 1 to 3 specimens are obtained. The diagnosis code for the test would be related to the patient's presenting symptoms.

As per CPT assistant June 2009; Volume 19: Issue 6 “CPT code 82272 should be reported when a single specimen obtained from a digital rectal examination is tested.”

Please feel free to write if you have any question.

Thanks.

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