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.

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Jul 17th, 2014 - LBAROGIANIS 250 

re: Billing Units for 82486

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

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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

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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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