Widespread Probe Notification – FI - Notice to Providers of Upcoming Widespread Review of CPT 86140 C-Reactive Protein, TOB 13X
As a result of data analysis, Cahaba will soon be conducting a widespread review of CPT 96140 C-Reactive Protein, TOB 13X. The topic code for this review will be 5150V. Claims meeting the parameters of this edit will be selected across the provider community. Once selected, the claims will be reviewed for medical necessity (e.g. compliance with CMS guidelines, contractor LCD’s, correct billing and coding). This will be a line level review. The data from this review will assist us in determining our provider’s education needs. Once completed, the results of this probe will be posted on our web site.
Page last updated: May 21, 2008
