Oncology & Hematology Coding Alert
Generate Perfect Genetic Testing Claims by Learning New Codes Now
Find out which code goes into effect October 1. Genetic testing gets overhauled for CPT® 2021, but not all of the changes are active as of January 1. You will have new bladder cancer genetic testing code 0016M (Oncology (bladder), mRNA, microarray gene expression profiling of 209 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, basal, basal claudin-low, neuroendocrine-like)). This code goes live October 1, 2020. You also have a bevy new genetic testing codes to learn, all of which become valid after January 1, 2020. Growth and expansion of genetic testing continues to be evident in the CY2021 code set. You will see sixteen new codes in the Tier 1 molecular pathology procedure code section. These new codes allow for an increase in the number and specificity of genes being analyzed which enhances cancer screening opportunities, says Kelly Loya, CPC-I, CHC, CPhT, CRMA, associate partner at Pinnacle Enterprise Risk Consulting Services LLC in Charlotte, North Carolina. They are:
Oncology & Hematology Coding Alert
- CPT® 2021 Update:
Flag These 5 Changes, Including Breast Reconstruction and Lung Biopsy Codes, to Help Your Oncology Claims Flourish Next Year
Find out what temporary code graduated to a regular CPT® code. You’ve likely been preparing [...] - CPT® 2021:
Generate Perfect Genetic Testing Claims by Learning New Codes Now
Find out which code goes into effect October 1. Genetic testing gets overhauled for CPT® [...] - E/M 2021:
Part 3: Manage Your MDM Component Expectations When 2021 Hits
Here’s how the verbiage changes. This year, you’ve read all about the upcoming changes to [...] - You Be the Coder:
Here’s How to Decide Between Malaise, Fatigue Dx
Question: One of our oncologists is capturing general complaints, like malaise and fatigue, for patients [...] - Reader Question:
Here’s How Incident-to Guidelines Apply
Question: I reported 99211 for a nurse visit with a Medicare patient when our oncologist [...] - Reader Questions:
Draw the Distinction Between Modifiers 52, 53
Question: What guidelines should I adhere to for a surgery cancelled midway because of health [...] - Reader Question:
Follow These Telehealth Documentation Reqs
Question: Due to the COVID-19 pandemic, our providers are performing mostly telehealth video visits. Is [...]
