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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
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
Greet New Diagnosis and Lab Test Codes
Monitor developments for your lab. With COVID-19 pandemic information changing daily, use... Read more
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
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
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
Capture Each Step of Aspirate Biopsy Case
But beware bundled services. When your pathologist evaluates a fine needle aspiration (FN... Read more
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
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