Medical Billing Forum

General Category => General Questions => : camedbill April 14, 2011, 04:32:25 PM

: Laboratory codes
: camedbill April 14, 2011, 04:32:25 PM

Does anybody know if Medicare pays for codes 87110 and 87081?  We keep getting denied as 'this provider was not certified /eligible to be paid for procedure'  eventhough we are billing them with a valid Clia #.
Thanks in advance for your help

: Re: Laboratory codes
: Michele April 14, 2011, 05:24:54 PM

Both are reimbursable codes.  Have you called customer service to make sure the clia # was received on the claim or to inquire exactly what is wrong?  That is what I would do.

: Re: Laboratory codes
: camedbill May 04, 2011, 05:56:15 PM

I did and they told me the provider's clia is not certified for these tests.  Thank you Michele!

: Re: Laboratory codes
: Michele May 05, 2011, 09:48:23 AM

Does the provider have a CLIA Waiver, and are these tests not CLIA waived tests??