in office urine machine reimbursement

[TWR]

Recently purchased  a urinalysis machine from Henry Schein with the anticipation of getting a reimbursement of $4+ compared to $1+ for hand reading.  We got a CPT code that should have given us the enhanced reimbursement BUT we are only getting  the $1+ as before.  Our "biller" which works out of a specialty office says that maybe some other state get the extra money but the contract that was signed by the PCP states we will only get the $1+     That does not make sense.  We do accept all the big insurance companies.   Any ideas would be appreciated.  Thanks.

[jmj11]

Dealing with insurances never makes sense. After fighting with them for 5 years when I owned my own practice, I had to go live in a cave in Malta to recover, seriously. They eventually put me out of business despite overwhelming demand for services. But issues like the one you are describing, almost drove me mad. I would buy a drug for $100 per dose and give it, and they would reimburse at $3. Anyway.

[marktheshark89]

We use a machine and also only get 1$ per test. Not sure which code you are talking about to give the 4$, but i’ve never seen it reimbursed that high unfortunately anywhere.