From: Bessie Kam (bkam@dls.queens.org)
Date: Thu Aug 28 2003 - 13:34:10 EST
Hello, Is anyone experiencing Medicare REJECTION in payment for the lower paid unit of either 88342 (immunoperoxidase, each stain) or 88180 (flow cytometry,each marker) if both tests are ordered together. What it appears Medicare is saying is that you cannot do both CPTs on the same person. They will only reimburse the lower cost unit. This does not appear to be good medical practice as both work to provide a diagnosis for the patient. Is anyone familiar or experiencing this payment rejection and/or can help us know what they are doing in this situation. I'd also appreciate knowing if you are not experiencing this. I am not sure if it is limited to Hawaii or the states Medicare services that includes our state. thanks bessie -- Bessie Kam Email: bkam@dls.queens.org The Queen's Medical Center, Pathology FAX: 808-547-4045 Phone: 808-547-4271
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