OIG: Billing Code 81408 Is at 'Risk of Improper Payment'

CEO SUMMARY: Clinical lab executives familiar with molecular test coding and billing will not be surprised to learn that billing code 81408—commonly used on genetic test claims—is at risk of fraudulent Medicare payments. A new report from the Office of Inspector General attaches a remarkable number to this threat: $888 million over four years. Payers …

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OIG: Billing Code 81408 Is at ‘Risk of Improper Payment’

New audit concludes that nearly $1 billion in past claims payments under CPT code could be fraudulent

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