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Eight one zero zero two was modifier 25 medicating Aetna are denying our urinalysis eight one two eight one two zero zero two stating that they are included with the office visit would it be appropriate to bill it with a modifier 25 well I found some really interesting information on this and you like my little urinalysis cup thought that was I really enjoy doing these slides but I also enjoy going and finding the pictures okay scrolling down so she got a similar question that I found on this in this article and the difference was it was too specific cousin says we received in the vials for Medicare for CPT code eight one zero zero two a urinalysis by dipstick or tablet reagent for Bella Reuben glucose hemoglobin ketones leukocytes nitrates pH protein specific event gravity gyro diligent any number of these constituents constituents constituents constituents okay I thought that was like a political thing I've not automated without microphones to Mike yeah okay and then she also had and the cpt code eight to two seven zero which is a blood occult that they'd won for feces to check for like colorectal cancer so the remittance code indicates that we must submit a modifier however we can't determine the appropriate modifier to report can you not give us any advice and she sure does so the answer she gave was when the physician's office performs this test in house you use modifier 92 alternative laboratory platform testing may be applicable the Hicks fixed modifier would be QW clinical laboratory Improvement Act waived test you could also use that so when the physician's office employs an outside laboratory to perform the tests you would report it with modifier ninety laboratory now if this is not the first time the tests are being performed and reported for a particular patient a pin modifier ninety one repeat clinical diagnostic laboratory test and then she goes in to say when these tests are provided as part of the general colorectal cancer screening in conjunction with and these are hickspicks codes G 0 1 0 for G 0 1 0 5 G 0 1 0 6 G 0 1 to 0 and 1 to 1 and 1 to 2 the payer may request you report modifier 51 multiple procedures or modifier 59 distinct procedural services and that came from Shelly Safian from Safian communication services in Orlando Florida got some pretty savvy people in Florida that are coders so that gives you an idea of the the modifiers that might be appropriate for you to take care of that with your remittance advice that keeps coming in get more CPC exam tips coding certification training and CEU credits go to WWE certification or.