Billing / CPT Codes

DIRECT CLIENT BILLING
Direct client billing is the most efficient way to order laboratory testing from HGL. 
Direct billing eliminates the need for you to provide patient billing and insurance information.  This simplifies the ordering and testing process, and eliminates delays. 

INSURANCE BILLING
If you wish to have the laboratory bill insurance, please check with your patient’s insurance company to see if pre-authorization for genetic studies is required.
Verifying coverage requirements or obtaining pre-authorization prior to specimen collection is often necessary.

• If the patient’s insurance will not cover genetic testing, please have the patient complete an Advance Beneficiary Notice of Noncoverage (ABN) or Self-Pay Waiver of Services, and send it with the specimen.
  
• Please include an enlarged, legible copy of the front AND back of the patient’s insurance card with the test request form.
• FORMS are available to assist with pre-authorization request 

MEDICARE & MEDICAID SERVICES
Access Local Coverage Determination (LCD) for Cytogenetic Studies (provided by the U.S. Department of Health and Human Services) for CMS Coverage Policy for Cytogenetic studies (L30487).

NOTE: The Human Genetics Laboratory must bill hospitals for all Medicare hospital inpatient testing or for patients living in skilled nursing facilities (SNF).

CPT CODES
For current codes please reference individual test pages found in the Test Catalog, or call the laboratory at 402-559-5070 option 3 for more assistance.

Call 402-559-5572 with billing questions or to set up a client account.

revised 10-26-2012