Home Forums Discussions Coding and Billing Glucose Test in the Clinic: 82962 vs 82947

Do you bill Insurance companies for Glucose test done in the office? Which CPT do you use: 82962 or 82947?

Although Medicare reimburses 82962, all of the other insurance companies denies 82962 even when it is a Medicare advantage plan.

Is 82947 with the CLIA waived Modifier a more appropriate CPT to use and gets reimbursed by most insurance companies ?

Please share your thoughts and experiences.


aramiz
Houston, TX

Hello

I have not seen a single response to this. Does it mean you are not offering this procedure in the clinic ?

Please share your thoughts, if you can provide any value to this thread.

Thanks
Aramiz
Houston

Hi - I talked to my billing person and what she told me is that 82962 gets denied when you use the routine physical code like Z00.00. Usually the patient has some other code that will pay on it like hypertension, hyperlipidemia or something and it gets paid if she adds that.

On a little bit different topic when you use the codes G0439 or G0438 (medicare wellness) nothing gets paid that day for other than the wellness visit, so don't try to bill for anything else that day (even labs) when you use that code.

And after all that, they pay like 2 bucks!