Laboratory

Laboratory Question for the Week of August 3, 2020

Laboratory Compliance Question of the Week

Question:

What code would I report for professional interpretation in molecular pathology?

Answer:

Procedures that require interpretation by the physician/pathologist may be assigned to G0452 for billing, as long as it is clearly indicated that the skill of the physician/pathologist is reasonable and necessary. Interpretation performed by the non-physician laboratorian (doctoral-level scientist, geneticists, or other appropriately trained non-physician healthcare professional) is covered within the technical component of the molecular pathology CPT® and is not separately billable with HCPCS G0452.

G0452 Molecular pathology procedure; physician interpretation and report


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

CPT© copyright 2020 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.