Billing Beat

Procedure Code 88305 – Billing News

March 1, 2014

Noridian conducted data analysis on CPT 88305 from redetermination requests submitted since October 2013. These appeals were denied because the lab failed to provide the following: indicate requirement of a valid order/intent to order; documentation must be signed and dated by the performing provider and Pathology Reports – Include surgery/procedure notes when biopsies taken.

Source: https://med.noridianmedicare.com/web/jeb/article-detail/-/view/10525/redeterminations-top-five-requested-codes-and-tips

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