Medical Billing Forum

General Category => General Questions => Topic started by: rbs2015 on December 29, 2015, 05:57:10 PM

Title: mobile diagnostic testing
Post by: rbs2015 on December 29, 2015, 05:57:10 PM
I have a new company that is doing pgx testing. We are going to different locations and testing employees for several companies. Testing is being done with a mobile maxpulse. What codes can be used? 99211 and then also can there be a tc and a pc code...just want to make sure we do not miss anything.
Title: Re: mobile diagnostic testing
Post by: Michele on December 29, 2015, 09:15:15 PM
I'm not familiar with Pgx testing.  Is that the actual name of the test or is that a testing service? 
Title: Re: mobile diagnostic testing
Post by: rbs2015 on December 29, 2015, 10:31:32 PM
It is the type of testing done with a maxpulse machine.
Title: Re: mobile diagnostic testing
Post by: Michele on December 30, 2015, 06:33:41 AM
I have a new company that is doing pgx testing. We are going to different locations and testing employees for several companies. Testing is being done with a mobile maxpulse. What codes can be used? 99211 and then also can there be a tc and a pc code...just want to make sure we do not miss anything.

You aren't giving enough information for us to know what cpt codes would be appropriate for the test you are doing.  THe "tc" & "pc" are to indicate technical component and professional component of a cpt code.  If your test is global then you would not use either, but bill it without a modifier to indicate "global".  The 99211 is an E&M code which can be billed if the components for that code are met.  That is the lowest level of E&M code.  Will you be doing the testing or providing the kits to people?  If you are doing the actual testing what specifically are you testing for?  The PGX kit themselves are a kit, and I don't believe that there is a cpt code specifically assigned to that kit.
Title: Re: mobile diagnostic testing
Post by: rbs2015 on December 30, 2015, 07:58:45 AM
It isn't a kit.  The testing is done with a machine called MaxPulse. We have a tech or ma that does the actual test on each individual.  The type of test is pharmacogenetic testing.
Title: Re: mobile diagnostic testing
Post by: Michele on December 31, 2015, 06:54:32 AM
Pharmacogenetic testing covers a lot of things still.  I did find the following which lists some cpt codes for some of the testing done.  I hope that's helpful.

https://www.healthpartners.com/public/coverage-criteria/pharmacogenetic-testing/