Laboratory Question for the Week of August 27, 2018

Laboratory Compliance Question of the Week


How does CMS define a “group” test?


Group tests are panels or profiles (sometimes referred to as order entry panels) that result in the billing of multiple CPT® codes. Reference labs generally have all components of panels and profiles listed in their catalogs. Unfortunately, the catalogs can become outdated quickly, so be sure to check with your reference lab to validate the codes. If you bill Medicare for a code, then you are liable— not the reference lab—even if it had the incorrect code printed in its catalog.

CPT® is a registered trademark of the American Medical Association.

This question was answered in the 2018 edition of our Coding Essentials for Laboratories. For more hot topics relating to laboratory services, please view our store, or call us at 1.800.252.1578 ext. 2.


Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.