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Printed Date: 9/22/2015
Yes. When a billing laboratory performs some laboratory tests and some testing is referred to another laboratory, the electronic claim does not have to be split.
NOTE: When the reference laboratory is not located in the same billing jurisdiction as the referring laboratory, the referring (billing) laboratory must report their own NPI with the name, address, and ZIP Code of the performing provider in the appropriate data field for reporting purposes. The billing provider should keep a record of the performing provider’s NPI in the clinical records for auditing purposes.
Resource: IOM 100-04, Chapter 16, Sections 220.127.116.11 (PDF, 569 KB)
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Last Updated: 09/01/2020