Billing and Coding Guidelines for Drug Testing
2. Service(s) rendered is not consistent with accepted standards of medical practice. 3. The medical record does not verify that the service described by the CPT/HCPCS code was provided. 4. The service does not follow the guidelines of the related LCD. 5. The service is considered: a. Investigational. b. Routine screening. c. A program ...
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downloads.cms.govBilling and Coding Guidelines . Contractor Name . Wisconsin Physicians Service Insurance Corporation . Contractor Number . 05101, 05201, 05301, 05401, 05102, 05202, 05302, 05402, 52280 . ... classifications of diagnoses and procedures in which patients demonstrate similar resource consumption and length-of-stay patterns. A payment rate is set ...
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