As discussed in several transmittals including the Quarterly Update for the Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment, the CLFS data reporting period will be delayed. To maintain compliance, it is important for labs, and healthcare regulatory and compliance professionals to be aware of the details. Also offered is […]
January 1, 2021 has arrived and with it are the latest CPT® code changes made by the American Medical Association (AMA) effective at the start of the year. The current codes, guidelines, and parenthetical changes can be found in the 2021 CPT Professional code book. Below is an overview of several key laboratory and pathology […]
Molecular diagnostic assays are one of the fastest growing segments for clinical diagnostics. Advancements in testing capabilities allows for rapid determination by simultaneously assessing multiple genes, which for some patients will have life changing effects, by identification of low prevalence inherited and environmentally induced diseases, syndromes and conditions. The advancements in testing capabilities are exciting […]
CMS released multiple reporting codes for COVID-19 for laboratory services. We created this guide to help you understand the latest information and implications for the COVID-19 codes currently available. Fill out the form to download the article. COVID-19 Laboratory Codes Name* First Last Email* Enter Email Confirm Email Phone* Job Title* Facility* State* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of […]
Continuing their quick response as the COVID-19 pandemic evolves, the American Medical Association (AMA) held another special meeting of the CPT® Editorial Panel to address the immediate need for codes to report and track antibody testing specifically for SARS-CoV-2 (the virus that causes the disease COVID-19). Effective April 10, 2020, the AMA has approved the […]
Under the recently released Interim Final Rule from the Centers for Medicare and Medicaid Services (CMS), payment rules for specimen collection are changing for the public health emergency (PHE) caused by the COVID-19 pandemic. With this change, CMS will provide payment to independent laboratories, under certain circumstances, for specimen collection from home-bound beneficiaries or inpatients […]
Effective March 13, 2020, the American Medical Association (AMA) has approved and released a new CPT code to report testing for COVID-19 after holding a special meeting of the CPT Editorial Panel to respond to the rapidly evolving concerns surrounding testing for this novel coronavirus. The goal with the expedited release of this new code […]
Quick reference for the laboratory – new codes for 2020 and guidance with new coding issues. For 2020, there were numerous changes to the Laboratory and Pathology Section of the CPT® manual. As always, it’s critical to ensure all staff have a complete understanding of the changes impacting laboratory. To help make that easier, we […]
Every year more and more are approved – a plethora of PLA codes for laboratories to keep track of and manage. So, what are they and what do you need to know about the latest changes that could cause confusion…or worse? With over 70 new PLA codes effective in the last year alone, it’s time […]
We are currently completing the final touches to your resource and rest assured all our energy is invested in guaranteeing that we offer the most current and complete solutions to your everyday – and maybe not so everyday – coding, charge capture, and compliance questions. When updating the 2020 edition of the Coding Essentials for […]