Policy and Practice Updates

The accompanying chart outlines coding and policy changes. Per day limits will apply to the following codes effective 12/1/2011.

ProcedureImplementation DateWhat Changed
Per day limits12/1/20114 units per date of service for:
86753: Antibody; protozoa, not elsewhere specified
Per day limits12/1/20115 units per date of service for:
88347: Immunofluorescent study, each antibody; indirect method
Per day limits12/1/20118 units per date of service for:
S0265: Genetic counseling, under physician supervision, each 15 minutes
Per day limits12/1/201112 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 12/1/201180500 will deny when billed with a code from range 80100-80299. Modifier 59 will not override this edit.

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