For the Week of July 7, 2025

What are the circumstances that will meet the requirements for assigning 93458?

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We are a hospital-based laboratory. Can we charge Medicare for handling fees to send samples to a reference lab using code 99001?

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Are there any code edits that we should be aware of when applying LT and RT modifiers?

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Do codes 95816 and 95819 include hyperventilation and/or photic stimulation?

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How should the sequential administration of a substance lasting longer than 15 minutes be charged?

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To provide you with the most actionable compliance and regulatory questions, we are retiring the pharmacy compliance question of the week to focus on answering more commonly asked questions that safeguard accurate coding and save reimbursement. The pharmacy archive will still be available and is accessible here. Compliance Question of the Week will continue to help you overcome compliance challenges, reduce operational waste, and optimize healthcare.

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