Laboratory Question for the Week of May 21, 2018

Laboratory Compliance Question of the Week

Question:

When does the new MAAA code for oncology take effect?

Answer:

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).


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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.