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May 2005 · Vol. 17, No. 5

REIMBURSEMENT ADVISER

Insurer won’t pay for routine lab tests

Fast Track

The vaginal culture code 87070 is a complex test that requires the highest CLIA certificate level

Melanie  Witt,  RN, CPC, MA

Q

When we bill for Pap tests (Q0091), vaginal cultures (87070), and stool guaiac (82270), insurance companies refuse to pay.

They tell me we can collect for obtaining the specimen, but I cannot find the correct CPT codes. How should I proceed?

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