Special Processing Considerations

90.5 - Special Processing Considerations (Rev. 4299, Issued: 05-03-19, Effective: 01-01-19, Implementation: 10-07-19) PM AB-97-17 To order any of the 23 automated tests, a physician may select individual tests or the panel. A physician may order a mix of panels and individual tests. The physician should review what tests are in each panel and not order individual tests that might duplicate tests in the panel. Medicare denies duplicate tests. Specialists are not, based on their specialty, restricted to ordering certain panels or individual tests. The physician (general practitioner or specialist) should identify which tests he/she requires; and, if the tests match a grouping, order the appropriate panel. Claimants should use the QP modifier with the single ordering of tests or when a single code is available for groupings of tests. This modifier indicates that the claimant has documentation on file showing that the laboratory test(s) was ordered individually or ordered as a CPT-recognized panel