Forum - Questions & Answers

Jul 16th, 2014 - janiscom 1 

Billing Units for 82486

We are an independent clinical lab and have been billing 82486 based on the number of tests that are run for the Chromatography, qualitative;..... I have seen our biller submit on average 29 units. Can someone help me understand the proper use and unit submission for this code.

Jul 17th, 2014 - LBAROGIANIS 250 

re: Billing Units for 82486

Medicare states the MUE is 2. Are you all getting paid for 29 units?

Jul 17th, 2014 - janiscom 1 

re: Billing Units for 82486

No we are only getting paid for 2 units. I question the lab and they are insisting that we should be billing for 29. Any direction you can provide me on where to pull information would be appreciated. Thanks

Jul 17th, 2014 - LBAROGIANIS 250 

re: Billing Units for 82486

You go to your Medicare website, or CMS.Gov or you can use a software. I use ama software. But alot of this information is on CMS.Gov. You need to find the file mue- that will tell you how many units that you can bill a code. But your best bet is to use your states Medicare wesbite. If you don't know it.. Reply with your state.



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