BILLING NEWS

Thyroxine Billing Restrictions

Effective for dates of service on or after September 1, 2009, the following restrictions apply when billing for laboratory tests related to the thyroid hormone, thyroxine:

  • CPT-4 code 84436 (thyroxine; total) is not reimbursable if code 84439 (thyroxine, free) has previously been reimbursed for the same date of service, recipient and provider.
  • CPT-4 code 84479 (thyroid hormone [T3 or T4] uptake or thyroid hormone binding ratio [THBR]) is not reimbursable if code 84439 has previously been reimbursed for the same date of service, recipient and provider.
  • Reimbursement for CPT-4 code 84439 will be reduced if either code 84436 or 84479 has previously been reimbursed for the same date of service, recipient and provider.

SOURCE: California Medi-Cal
INDUSTRY NEWS TAGS: California Medi-Cal


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