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Use of 99000

Tierni Posted Mon 18th of April, 2016 15:31:26 PM
A patient brought a kidney stone into our office and asked if we could send it out for analysis. Can we bill out a 99000? If so, what dx would we use?
SuperCoder Answered Tue 19th of April, 2016 05:48:26 AM
Hi, According to the scenario mentioned, you may use ICD10 code N20.0 for Kidney stone, but you will have to check the entire physician notes for the exact diagnosis. CPT indicates that the code 99000 is only appropriate to report when the costs incurred by the practice in handling the specimen are above normal practice expenses (ie, overhead costs). If you can show significant additional work in preparing the specimen to send to the lab, you may be able to make a case for payment. Hope this helps! Thanks.

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