DOS Change for Prenatal Cystic Fibrosis Screening

Providers are reminded to use ICD-9 code V26.31 when billing a combination of the following codes up to a maximum quantity of 25 or up to a maximum reimbursement of $180 per day per recipient.

CPT-4 Code Description
83890 Molecular diagnostics; molecular isolation or extraction
83891 isolation or extraction of highly purified nucleic acid
83892 enzymatic digestion
83893 dot/slot blot production
83894 separation by gel electrophoresis (e.g. agarose, polyacrylamide)
83896 nucleic acid probe, each
83897 nucleic acid transfer (e.g. Southern, Northern)
83898 amplification of patient nucleic acid (e.g. PCR, LCR), single primer pair, each primer pair
83901 amplification of patient nucleic acid, multiplex and each multiplex reaction
83904 mutation identification by sequencing, single segment, each segment

Claims that were billed or denied for a quantity greater than one for the preceding codes and were cut back will automatically be reprocessed retroactive to dates of service on or after October 1, 2001. No action is necessary on the part of the provider.

Published by XIFIN
INDUSTRY NEWS TAGS: California Medi-Cal

Share This Post:

Search Billing News

Billing News By TAG

Billing News By DATE