Current Procedural Terminology (CPT) Coding

CPT codes listed in this Resource Guide are provided only as guidance to assist you in billing. The CPT codes listed reflect our interpretation of CPT coding requirements only and are subject to change at any time. It is your responsibility to verify the accuracy of the codes listed. FBR assumes no responsibility for billing errors due to reliance on the CPT codes listed in this Resource Guide. If you have any questions, please refer to your CPT manual published by the American Medical Association. To verify reimbursement or if you have questions regarding usage of a CPT code, please contact your local carrier.

Medical Necessity

The web sites below provide relevant information on medical necessity guidelines for specific tests performed at FBR. Each web site lists covered and non-covered ICD-9 codes as defined by National Coverage Determination policies (e.g. Iron studies and Alpha-fetoprotein). Please check with your local carrier for current information. This information is subject to change without notice. ICD-9 code selection should reflect a patient’s medical condition as noted in the medical record. Links to these sites are provided as a courtesy only; the FBR can make no recommendations regarding ICD-9 code selection.

Serum Iron Studies (iron, transferrin/TIBC, and ferritin):
http://www.cms.hhs.gov/coveragegeninfo/downloads/manual200701.pdf

Alpha-fetoprotein Studies:
http://www.cms.hhs.gov/coveragegeninfo/downloads/manual200701.pdf