COREhealth | peppers and corn

Insurance codes for consultations & lab tests

   We do our work best when not associated with any insurance companies. Therefore, we have no relationship with health insurance companies. Because their contracts are with patients, we do not fill out their forms or respond to their telephone calls or letters. It is your responsibility to pay COREhealth at the time of service and to file your own insurance claims.

   Before your office visit, decide if you want to pay COREhealth for blood tests or to ask the lab to file for reimbursement from your insurance company. Your co-pay may be higher than the relatively low fees given to us in return for us billing the patients. Think this over carefully, because we cannot reverse your decision to pay us or file with insurance.

   Your insurance company may want a diagnosis code. The diagnosis code for Menopause Syndrome is 627.2; Metabolic Disorder is 277.9. There are thousands of diagnosis codes which you can find on the Internet. Please help working with these complicated insurance issues by looking up your own diagnosis code: Click here to look up ICD9 diagnosis codes on the Internet.

   To help you decide if it will be less expensive for you to pay us for tests, next to each lab test below is our fee for the lab test followed by the CPT code your insurance company may want from you in order to decide if they will cover the test.

Fasting Serum Insulin, $29, CPT 83525

Hemoglobin A1c, $29, CPT 83036

Basic metabolic chemistry panel, $22 (CPT 80053, 82248,
   83615, 84100, 84550, 82248)

Free T-4, $22, CPT 84439

TSH, $22, CPT 84443

TPO Thyroid antibody, $29, CPT 86376

Fasting Lipid profile, $22, CPT 80061

VAP Lipid Profile, $145, CPT 83716 ($125), 84478 ($20)

25-hydroxy Vitamin D, $62, CPT 82306

Lab Blood Draw Fee, $18, CPT 36415

High Sensitivity Serum Estradiol, $67, CPT 82670

FSH, $36, CPT 83001

Progesterone, $43, CPT 84144

LH, $36, CPT 83002

DHEA-S, $43, CPT 82627

Sex Hormone Binding Globulin, $50, CPT 84270

Free and Total Testosterone, $100, CPT 84402($50), 84403($50)

PSA, $36, CPT 84153

CBC, $19, CPT 85025

TAP cortisol - Diagnos-Techs, $99
   Salivary Cortisol (4 samples): CPT Codes: AM Cortisol 82530
   ($24.75 x 2), PM Cortisol 82530-91 ($24.75 x 2)

Organic Acid Profile- Metametix Lab, $379
   CPT Codes: 82507 ($44), 82570 ($44), 83150 ($44), 83497
   ($38), 83789 ($36), 83605 ($42), 84210 ($42), 84392 ($26),
   84585 ($24), 83921x37 ($39)

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BELOW ARE A FEW OFFICE VISIT CPT CODES YOUR INSURANCE COMPANY MAY REQUIRE

Comprehensive Homeopathic, Bio-identical Hormone and Nutritional Consultation $495 (95-120 minutes); 99203 ($95) + 99354 x 1unit ($150), + 99355 x 4 units ($250)

Extended consultation with physician $125 (16 to 30 minutes), 99214

Extended consultation with physician $195 (31 to 45 minutes), 99214 ($105) + 99354 x 1 unit ($90)

Lengthy Telephone Consultation with physician $125 (16 to 30 minutes), 99443

Nutritional Physiology Consultation $295 (180 minutes); 97803 x 12 units

Nutritional Physiology Consultation $150 (60 minutes), 97803 x 4 units

Lengthy Telephone Nutritional Physiology Consultation $150 (60 minutes), 98968

 

updated March 10, 2008

 

Our address | 2727 Hollycroft, Suite 390  Gig Harbor, WA  98335