ICD-9 codes and ABNs from Medicare Compliance for Clinical Laboratories, presented by MediaLab

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ICD-9 codes and ABNs

Never use sign and symptom information received from a patient for laboratory billing purposes.
Never use ICD-9 codes from previous visits for a new visit even if the request is for the same test and the patient assures you that it is for the same reason. (Standing orders are an exception.)
ICD-9 codes should be requested when setting up standing orders and will then apply to all subsequent visits. It is not necessary in this case to get a new ICD-9 code for each visit.
If the patient refuses to sign an ABN but demands to have the test done:
- Have the fact that they were given notice (ABN) witnessed by a second person. (By phone if you are located in single-person drawing site).
- Ensure that documentation is complete.

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