Billing Beat

Laboratory services billed in place of service 24 denied in error

May 20, 2013

Independent laboratories (specialty 69) have received denials for diagnostic laboratory services provided in an ambulatory surgical center (ASC) (place of service 24), for claims processed on or before March 4, 2013. These denials apply to the technical and global components of codes in the range 80000- 89999 that have a PC/TC indicator of 1 on the Medicare physician fee schedule database (MPFSDB) and are not covered on the ASC fee schedule. First Coast Service Options Inc. is working to identify all services that have been denied in error and will make the appropriate adjustments. First Coast requests that providers do not submit appeal or reopening requests.

First Coast Options MAC J9 which includes Puerto Rico, the U.S. Virgin Islands and Florida

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