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24.2.9 Laboratory Panel Tests
Panels are specific laboratory tests that are combined together under a problem-oriented classification. The organ and disease panels include all tests as indicated in Current Procedural Terminology (CPT) that must be performed in order to bill the panel code. Individual laboratory tests considered part of a specific panel are denied when billed with a panel code on the same day, by the same provider. Either modifier 76 or 91 or additional times must be indicated on the claim if a panel code or an individual component of a panel code is billed more than one time per day. Additional times may also be included on accompanying documentation. No distinction is made between the method of testing, whether manual or automated; the test must be billed as a panel. Tests performed in addition to those specifically indicated for a particular panel should be reported separately and in addition to the panel code.
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