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.
||Molecular diagnostics; molecular isolation or extraction
||isolation or extraction of highly purified nucleic acid
||dot/slot blot production
||separation by gel electrophoresis (e.g. agarose, polyacrylamide)
||nucleic acid probe, each
||nucleic acid transfer (e.g. Southern, Northern)
||amplification of patient nucleic acid (e.g. PCR, LCR), single primer pair, each primer pair
||amplification of patient nucleic acid, multiplex and each multiplex reaction
||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.