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December 2016 Texas Medicaid Provider Procedures Manual

Radiology and Laboratory Services Handbook : 2 Independent Laboratory : 2.2 Services, Benefits, Limitations, and Prior Authorization : 2.2.2 Laboratory Handling Fees and Reference Laboratories : Physician Providers
A physician may bill only one laboratory handling charge (procedure code 99000) per client visit when the specimen is collected by drawing a blood sample through venipuncture or collecting a urine specimen by catheterization, unless the specimen is divided and sent to different laboratories or there are different specimens collected and sent to different laboratories.
The claim must indicate the name and address of each laboratory where a specimen is sent for more than one laboratory handling charge to be paid.
Refer to:
Subsection 9.2.40, “Laboratory Services” in the Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook (Vol. 2, Provider Handbooks) for more information about laboratory services reimbursed to physician providers.

Texas Medicaid & Healthcare Partnership
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