Reply To: Coding Issues

[Missouri Public Health Association]

In regards to Hemoglobins, I use z13.0 Diagnosis Code and 85018 procedure code without a TC modifier for the three managed care insurance companies (Mo Care/Well Care, Home State, and United Healthcare). For Mo Healthnet (Straight Medicaid) I use the same codes but for WIC clients 20 years and under, MO Healthnet still want the TC modifier.