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Posted By angie on 11-21-2018, 13:02:56 in Ob-Gyn
Pt has Hgb done at annual visit and provider finds she has low hgb and runs a cbc and other testing. can we bill both hgb and cbc out same day? we find that payers will bundle it? SHould I use a modifier on one of them.
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Posted By Melanie Witt on 12-06-2018, 13:46:51
Because 85027 (CBC) and 85018 (Hgb) codes are bundled you will have to use a modifier to bypass the bundling edit. You cannot use a modifier -91 since this is not a repeat blood test (ie, you would have to be billing the exact same CPT code each time), so a modifier -59 might do the trick.
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