Complynet

From:"Willis, Donna" <DonnaWillis@texashealth.org>

Good Afternoon to All:

Is anyone out in Histoland using the Complynet system to check for medical
necessity.  We are having problems in that the only 88342 CPT codes that the
Laboratory Medical Review Policy (LMRP) are accepting are ones that have
ICD-9 codes of 1740-1746, 1748-1749, 1750, and 1759.  These are the ICD-9
codes listed under the LMRP for Her-2/neu.  Is anyone else having their
88342 CPT codes rejected by insurance companies?

Thanks,
Donna Willis
Histology Lab Manager
 



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