When does the new MAAA code for oncology take effect?
The American Medical Association CPT® Editorial Panel established the following new MAAA code that took effect on January 1, 2018.
|0011M||Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing blood plasma and/or urine, algorithms to predict high-grade prostate cancer risk A|
In transmittal 3988, the Centers for Medicare & Medicaid Services noted that it had assigned the status indicator of “A” to it, which basically means that when these services are furnished to a hospital outpatient they will be paid under another payment system other than the outpatient prospective payment system (i.e., clinical laboratory fee schedule).
CPT® is a registered trademark of the American Medical Association.