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If an independent laboratory bills a non-ESRD-related test included in the ESRD PPS bundle using modifier AY, must the ESRD facility report it on its claim?

According to the Centers for Medicare & Medicaid Services, the answer is no. The ESRD facility should not report the diagnostic test on its claim because the test is not ESRD-related. There should be no instance where a diagnostic test is reported on an ESRD facility claim and billed by an independent laboratory.

 
 
 
 
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