This may just be Blue Shield of California, I am not sure, but they have been bundling my urine dips (81002) into the office visit recently.
So, public service announcement, bill your UAs to Blue Shield with a 25 modifier on the office visit and a 59 modifier on the 81002 as in the example below.
B34.4 Z68.28 Z51.89 99213 – 25
R10.9 81002 – 59
Also make sure that your code is set up to be a “lab” code and that your CLIA prints on it properly. Some of my providers have run into issues with that.
Questions? Comments? Criticism? Glowing emails as to how I have saved your office from certain destruction? Please direct those to (909) 610-9524 or firstname.lastname@example.org
April 1st is the deadline to switch over to the new CMS forms. And that is today. I know that there are a lot of you out there following this blog, so I have a quick public service announcement.
Please make sure you have the new forms for your paper AND electronic submissions today. If you are not sure whether or not you have the new forms, call around. Call your clearinghouse! Call your software vendor! Call MY software vendor! Call support! You may need to upgrade your software or re-map your print image file and test everything to make sure it’s working properly.
If you need help today, and you can’t get hold of your support people, please do actually call my support people. I use Lytec and I get it from Advanced Data Management. If you have an older version of Lytec and you don’t want to upgrade, they can get you the new CMS form for your current version (back through Lytec 2006 I believe). Even if you don’t have Lytec, they might be able to help you. You can find them here at http://www.adm1inc.com or call them at (800) 888-2361. They have been busily helping their customers get ICD10 ready for the last three months (including me–thanks Jo-Ann!) and if you left it to the last minute, please don’t leave it any longer.