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When to bill 82274

Tammy Posted Wed 05th of June, 2013 15:07:21 PM

Hi,
Do we bill the 82274 when the kit was sent home and then returned for testing?
or can you bill 82274 w/ the office visit where the kit was given to take home?
thank you!

SuperCoder Answered Thu 06th of June, 2013 06:40:57 AM

The physician gives the patient test cards to acquire samples at home. The physician explains how to acquire samples. The service represented by 82274 requires one to three consecutive stool samples, which the patient must obtain from separate bowel movements. The patient takes the cards home and performs the test (three consecutive days of samples is the standard). The patient returns to the physician's office with the cards. Samples are sent to the laboratory for testing.

Tammy Posted Thu 06th of June, 2013 11:23:22 AM

Thank you. When do we bill the 82274 when the physicinan explains DOS 1/1/13 or
when they return samples to office DOS 1/3/13?
please let me know.

Tammy Posted Mon 17th of June, 2013 14:12:00 PM

When do we bill the 82274 when the physicinan explains DOS 1/1/13 or
when they return samples to office DOS 1/3/13?
please let me know.

SuperCoder Answered Thu 20th of June, 2013 12:13:14 PM

The correct date of service is Jan. 3, 2013 in your example.

Most payers follow Medicare guidance for reporting date of service.
Generally, that means reporting the date of specimen collection as the date of service. For multiple-day collections, such as a fecal occult blood test (FOBT, 82274, Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations), you should use the last date of specimen collection.

Warning: When the physician issues FOBT cards, patient's don't always comply and complete the test. You risk having to repay Medicare or other payers for an FOBT test if the physician bills 82274 when he issues the card and the patient doesn't return the specimens.

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