tci Part B Insider - 2015 Issue 5

In other news

Although your CPT® manual may list every available modifier in it, that doesn’t mean your Part B practice can report them all and get paid for their use. The reality is that some modifiers are site-specific. Such is the case with modifier 90 (Reference [outside] laboratory), which is not billable in the outpatient practice setting, Part B MAC NGS Medicare reminded practices with a new article this week. “Only independent billing clinical laboratories (specialty 69) can bill with the 90 modifier,” the article says. “Sometimes a clinical diagnostic independent lab (POS 81) refers a specimen...

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