If a modifier 90 is sent with the charge via an interface, it will trigger the Outside Lab Attachment.
This attachment is a service line item attachment only; it is not available at the claim level.
| Prompt | Response | Req | Len |
|---|---|---|---|
| Referral Source | Enter the code you want or click the magnifying glass to search the table. | 
|
1 |
| Ref Dr License # | Informational Only - will display the license number for the referral source selected. |
|
1 |
Copyright and Trademark Notice. Copyright © 2019 CompuGroup Medical, Inc. CGM®, CompuGroup Medical® and the CGM logo are registered trademarks and CGM webPRACTICE™ and CGM webTOOLS™ are trademarks of CompuGroup Medical AG in the United States and/or other countries. Any rights not expressly granted herein are reserved.
