Pathology/Lab Coding Alert
Know the Lab Tests Affected
"The new national coverage decisions will impact reimbursement for 65 CPT Codes , which account for approximately 60 percent of laboratory claims, according to the negotiated rulemaking committee that authored the rule," says Laurie Castillo, MA, CPC, CPC-H, CCS-P, member of the national advisory board of the American Academy of Professional Coders (AAPC) and president of Physician Coding and Compliance Consulting in Manassas, Va. The committee which included representatives from CMS and 18 other organizations whose interests may be affected by the rule acted in response to a federal government mandate under the Balanced Budget Act of 1997. The title of each of the 23 policies and the affected CPT codes are listed below:
86300
Pathology/Lab Coding Alert
- Master the Billing Rules for Clinical Pathology Interpretation and Consultation
Despite the common perception that a clinical pathology consultation and the interpretation of a clinical [...] - Labs Must Prepare for National Medicare Coverage Policies
Uniform coverage rules for clinical diagnostic lab tests will provide welcome consistency as new national [...] - You Be the Coder:
Reporting Additional Work
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Know the Lab Tests Affected
"The new national coverage decisions will impact reimbursement for 65 CPT Codes , which account [...] - Reader Question:
Modifiers -91 and -59
Question: When a physician orders H. pylori IgG, IgA and IgM, we run three separate [...] - Reader Question:
Reporting Evaluations
Question: We often receive cytology specimens for evaluation that are not clearly defined, therefore we [...] - Reader Question:
Frequency Rules for Pap Smears
Question: Because our lab has no way of knowing whether a patient has exceeded Medicare's [...]
