
Policy and Practice Updates
September 1, 2011The accompanying chart outlines coding and policy changes. Per day limits will apply to the following codes effective 12/1/2011.
Procedure | Implementation Date | What Changed |
Per day limits | 12/1/2011 | 4 units per date of service for: 86753: Antibody; protozoa, not elsewhere specified |
Per day limits | 12/1/2011 | 5 units per date of service for: 88347: Immunofluorescent study, each antibody; indirect method |
Per day limits | 12/1/2011 | 8 units per date of service for: S0265: Genetic counseling, under physician supervision, each 15 minutes |
Per day limits | 12/1/2011 | 12 units per date of service for: 80101: Drug screen, qualitative; single drug class method (e.g., immunoassay, enzyme assay), each drug class |
Clinical pathology consultation ñ limited, without review of patient’s history and medical records ñ 80500 | 12/1/2011 | 80500 will deny when billed with a code from range 80100-80299. Modifier 59 will not override this edit. |