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11/18/2021 2020 Part B Utilization Data Loaded
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Editor's Welcome

Today we will discuss coding and coverage issues concerning thyroid testing. Changing clinical usage, new National Coverage Decisions (NCDs) and Correct Coding Initiative (CCI) edits have combined to create some new problems in getting the proper reimbursement for commonly used thyroid tests.  As always please feel free to e-mail with questions regarding this newsletter or ideas for future Friday Compliance Briefings.

Sincerely,

Charles Root, Ph.D.

Coding and Reimbursement for Thyroid Assays

The following CPT codes are used to report thyroid testing. The 2003 Medicare National Limitation Amount (NLA) is indicated for each procedure.

  • 84436 Thyroxine (T4); total  $9.61
  • 84439 Thyroxine, (T4); free $12.60
  • 84443 Thyroid stimulating hormone (TSH) $23.47
  • 84479 Thyroid hormone (T3 or T4) uptake/THBR $9.04
  • 8....

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