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icd-9 and cpt for 88142 88141 with v25.01 mod. denials received. Do I enter the "f" mod in line 24H? Can someone help me on this. Thanks....

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Author Topic: laboratory billing  (Read 2041 times)

millie trujillo

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laboratory billing
« on: January 21, 2010, 08:32:54 AM »
I received denials on the procedure codes 88141 & 88142. The Dx codes are 616.10 and v25.01. Can someone help me in why they are being denied. I entered the FP modifier, but according to the medicaid guidelines there should be an "F" only in box 24h. Is someone familiar with this?

Michele

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Re: laboratory billing
« Reply #1 on: January 24, 2010, 09:18:15 PM »
What is the exact denial?
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millie trujillo

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Re: laboratory billing
« Reply #2 on: January 27, 2010, 02:47:48 PM »
According to medicaid, the claim has a family planning dx, but no family planning procedure. Add the procedure or change the dx code with a modifier. But the procedure codes are normally used for this type of service. According to my library on the vcodes, the one used on this dos is v25.0 which is general counseling and advise on contraceptive management. But there is another dx code also shown v25.09. What am I doing wrong. Please help! Thanks......

Michele

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Re: laboratory billing
« Reply #3 on: January 28, 2010, 07:12:50 AM »
88141 & 88142 are both pap smear codes, so why is the provider including the dx V25.01?  The V25.01 is stating General Counseling On Prescription Of Oral Contraceptives but there is no cpt code for this.  Looks like that is the problem.

Michele
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