Billing Beat

Correction to State Covered Laboratory Services

May 28, 2014

The April 2014 issue of HealthCare News included an error regarding state covered laboratory services. The service marked with an asterisk (*) is not a state covered service; 86592 Syphilis Test Non-Trep Qual .

The following codes are not state covered laboratory services and should be billed to Blue Cross Blue Shield of North Dakota (BCBSND) (these were removed from the state covered laboratory list effective January 1, 2014):

86592 Syphilis Test Non-Trep Qual *Correction (was listed as covered in April issue)

86689 HTLV/HIV Confirmatory Test

86701 HIV-1

86703 HIV-1/HIV-2, Single Assay

87340 Hepatitis B Surface Ag, Eia (when HBsAg done as prenatal testing)

The following disease-specific state covered laboratory services are currently provided by the NDDOH at no charge and should not be billed to BCBSND:

87501 Influenza DNA AMP Prob 1+

87116 Mycobacteria Culture (when done for Tuberculosis)

87118 Mycobacteric Identification (when done for Tuberculosis)

87149 DNA/RNA Direct Probe

86780 Antibody; Treponema pallidum

87556 M.Tuberculo, Dna, Amp Probe

Source: https://bb.thor.org/Bulletins/HealthCare_News/BCBSND_Bulletin_366_May_2014/Correction_to_State_Covered_Laboratory_Services_-_Reimbursement.htm

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