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Pathology/Lab Coding Alert

Serological Testing:
Update SARS-CoV-2 Code Options for Antibody Tests
Master CPT® April 10 revisions. Whether your lab uses a laboratory-developed test or a c... Read more
Case Study:
Miss Dx or Payer and Lose Pap Test Pay
See how method impacts code choice. When your lab gets a Pap test order, you need to an... Read more
ICD-10-CM:
Ace COVID-19 Dx Coding with 4 Tips
See how code order counts. Although your lab won't assign an ICD-10 code based on test ... Read more
You Be the Coder:
Account for Multiple Respiratory Virus Tests
Question: Our lab often gets orders for both SARS-CoV-2 testing and testing for Influenza ... Read more
Reader Question:
Don’t Miss 2-Code Urine Culture Problem
Question: Our lab received two urine specimen tubes for complete urinalysis with reflex to... Read more
COVID 19:
Greet New Diagnosis and Lab Test Codes
Monitor developments for your lab. With COVID-19 pandemic information changing daily, use... Read more
Toolkit:
Follow COVID-19 Developments
Learn key resources to stay up to date. With information related to the COVID-19 pandemic... Read more
CERT Report:
Highlight Laboratory Documentation Deficiency
Improve quality for ‘sufficient' records. Your lab undoubtedly strives for excellent do... Read more
You Be the Coder:
Distinguish LEEP Specimens
Question: Our pathologist received a cervical LEEP specimen from a colposcopy with a loop ... Read more
Reader Question:
Know When to Use ‘Repeat’ Modifier
Question: The lab performed four CK level tests for an ER patient within a 24-hour period,... Read more
Reader Question:
You Won’t Miss Modifier GD
Question: I see that HCPCS 2020 deletes modifier GD. Does this impact coding for multiple ... Read more
Reader Question:
Identify PSA Test Options
Question: Our lab performed repeat PSA tests for a patient who had a radical prostatectomy... Read more
Reader Question:
Learn Medicare Appeals Levels
Question: My Medicare MAC denied a claim I submitted, and I want to appeal the decision. W... Read more
Anatomic Pathology:
Challenge Dx and Procedure Coding Skills With This Uterine Case
Master hyperplasia terminology. Pathology cases involving uterine endometrium can hold ma... Read more
Novel Coronavirus:
Prepare for COVID-19 Impact at Your Lab
Know when to engage public health. Even if your lab doesn't currently test for COVID-19... Read more
Compliance:
Master HIPAA Breach Notification Rules
Preparation lowers risk and penalties. If your lab faces a breach of patient protected ... Read more
Reader Question:
Don’t Double-Dip Mohs Pathology
Question: We have a dermatology clinic client who sometimes sends our pathologist slides f... Read more
Reader Question:
Behavior Drives Tumor Dx
Question: The pathologist diagnosed a specimen as a pineocytoma. Which ICD-10 code should ... Read more
You Be the Coder:
Distinguish FISH Codes for HER2/neu
Question: We have a pathology report for a breast biopsy exam, and the report states, “T... Read more
Case Study:
Sidestep Referred-Material Consultation Pitfalls
Beware unit of service impact. When your pathologist consults on material referred from a... Read more
NCDs:
Integrate Diagnosis Changes into Your Coverage Rules
Avoid using truncated codes. Dragging your feet to incorporate the latest ICD-10-CM codes... Read more
Clinical Lab:
Capture Celiac Disease Test Sequence
Focus molecular HLA typing. Testing protocols for celiac disease diagnosis can be a compl... Read more
Reader Question:
Master Stromal Tumor Diagnosis Coding
Question: The pathologist examined an esophageal biopsy from an esophagogastroduodenoscopy... Read more
Reader Question:
Change Documentation With Care
Question: When we see that documentation doesn't match a code choice, we usually go back t... Read more
Reader Question:
Code Reason for Hepatitis C Screen
Question: Our lab performs a hepatitis C screening for a Medicare patient with an injectio... Read more
You Be the Coder:
Learn G0455 FMT Restriction
Question: Our pathologist works with a gastroenterologist at our hospital for fecal microb... Read more
CPT® 2020:
Master Molecular Pathology Code Updates
Don't miss Tier 2 to Tier 1 conversions. If your lab performs gene analyses, you need to ... Read more
FNA:
Capture Each Step of Aspirate Biopsy Case
But beware bundled services. When your pathologist evaluates a fine needle aspiration (FN... Read more
Compliance:
Focus You Lab’s HIPAA Policies for 2020
Train, monitor, modify to keep procedures current. Strengthening your HIPAA compliance to... Read more
Reader Question:
Search for ‘Payable Diagnoses’
Question: We've always turned to our Medicare contractor's LCDs to find a list of pay... Read more
You Be the Coder:
Find Diagnosis, Procedure Codes for Drug Screen
Question: A clinician orders a drug test screen for a patient presenting with constricted ... Read more
CPT® 2020:
Take on 3 New Category I MAAA Codes
Distinguish codes for similar tests. When January 1 rolls around, you'll need to know abo... Read more
2020 Medicare Pay:
Learn MPFS Final Rule Impact for Your Pathology Lab
Pap interpretation takes big hit. Changes are coming down the pike for payment on some hi... Read more
Compliance:
Embrace Stark Law Changes
Value-based care is driving the revisions. If your pathology practice has stumbled over S... Read more
Reader Question:
Focus ‘Medical Necessity’ for Billing
Question: Sometimes we get denials for a procedure our pathologist performed due to lack o... Read more
Reader Question:
Capture Repeat Sodium Test Pay
Question: Our lab performed a basic metabolic panel (total calcium), followed by two sodiu... Read more
You Be the Coder:
Parse TB Test Coding
Question: Our lab received an order for an IGRA test for TB for a 30-year-old patient who ... Read more