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Laboratory codes

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camedbill:
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

Michele:
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.

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

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

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