Reflex tests have a defined reflex test protocol. That is, based on the ordered test results, additional testing if required will be performed, reported, and billed at an extra charge. These additional tests are necessary to complete the diagnostic information needed for patient treatment. Notification by the provider is necessary if reflex testing is not desired. Please refer to the Reflex test list for a complete listing. This listing is updated annually.
Cancellation of testing
The ICD-10 code sets allow providers to document more details about their patients’ health conditions and hospital procedures than ever before. These details lead to a better record of a patient’s history, and in turn, lead to better care for patients across different providers. Previously, for example, a provider used an ICD-9 code to indicate a patient has a broken arm. With ICD-10, the provider uses a more specific code to indicate whether it’s the right or left arm broken, providing a better understanding of the patient's injury or condition.
If you would like further information, you can refer to the Centers for Medicare & Medicaid Services (CMS) website.
Lab NCD’s ICD-10
Each of the links below will take you to a CMS (Centers for Medicare & Medicaid Services) License Agreement page where you much read and indicate your acceptance of the terms.
CMS is not providing the links to the articles that replaced the LDC’s directly. However, at the bottom of each LCD, under the Associated Documents header, there is a hyperlink to the article that lists the CPT and the covered codes. This is the only way to access these new articles at this time.
* The LCD for Non-covered services (L33629) has been retired as of 07/01/2020 and should only be used for dates of services 06/30/2020 and older.
In the middle of page 2 of this document, there is a link to downloadable listings. Click on the link, click open, and choose the MM11491 link.
ABN's advise beneficiaries, before items or services are actually furnished, when Medicare or its replacement products are likely to deny payment from them.
If testing does not come under Medicare guidelines for payment, a signed ABN must be included.
If you are able to supply a copy of the completed document to the patient, you may print the document from this link. If you are not able to make a copy of the completed form for the patient, multi-copy forms can be ordered from the Allina Health Laboratory Supply Catalog under Forms-Information Pads.
Non-covered services waiver
Allina Health Laboratory assumes no responsibility for reimbursement you may or may not receive based upon the procedure codes listed.
It is your responsibility to determine the correct CPT codes to use for billing. CPT codes provided by Allina Health Laboratory in our test catalog, or by our billing department, are for informational purposes only. This coding is based on the Current Procedural Terminology (CPT) guideline manual published by the American Medical Association and the local and third party payer requirements. Any questions regarding the use of a code should be referred to your local Medicare carrier or the payer being billed.
If you are unable to locate a CPT code in our test catalog, or are requesting the fee for a particular test, submit a completed CPT/Fee request form (linked below) and we will respond with the requested information.
Clearly print your corrections on the Insurance Adjustment Form
To remove charges from your account and send to patient's insurance, you must provide the following:
Requests for billing changes must be submitted within 60 days of invoice receipt.
Here is the Insurance Adjustment Form in a fillable PDF format that can be completed printed, and faxed to (612) 863-0460
Instructions and examples:
Questions call: (612) 863-0400
Complete and submit the form below to notify us of the need for Allina Health Laboratory to bill insurance for Molecular testing performed. Please note that all information requested is required in order for your request to be completed.