Reader Question: Save This Medicare Acronym Primer

Question: Communications from our Medicare contractor are so full of “alphabet soup” that half the time I don’t know what they’re talking about. Can you provide some definitions for [...]

Posted on: 9 December 2016 | 1:12 am

Reader Question: Use 26, Not PC for Professional Component

Question: If the pathologist examines a pathology case, such as an adrenal resection, but the slides are prepared by the histology lab at the hospital and sent over to [...]

Posted on: 9 December 2016 | 1:12 am

Reader Question: Learn 81528 Coverage Requirements

Question: Our lab performs the Cologuard test for colon cancer screening, but we’re getting denials. Could you please outline the criteria for screening Cologuard test coverage? [...]

Posted on: 9 December 2016 | 1:12 am

Q/A Roundup: Drill Down For More PAMA Guidance For Your Lab

Understand applicable labs, ADLTs, and more. If your head is still swimming with the whole idea of repricing the Clinical Laboratory Fee Schedule under the [...]

Posted on: 9 December 2016 | 1:12 am

CLFS: Prep for January Data Reporting to CDLT Payment System

Signing up may be half the battle. Once you know you’re an “applicable lab” that must report Clinical Diagnostic Laboratory Test (CDLT) volume and payment [...]

Posted on: 9 December 2016 | 1:12 am

CPT® 2017: Notice Code Category Shift for Prostate Cancer Test

More lab tests, fewer biopsies may be in your future. With protocols for prostate cancer diagnosis in flux since the U.S. Preventive Services Task Force [...]

Posted on: 9 December 2016 | 1:12 am

You Be the Coder: Access Genetic Testing Diagnosis Options

Question: With all the genetic testing options for cancers and germline mutations, is there a way to report the results of the tests without indicating that the patient has [...]

Posted on: 9 December 2016 | 1:12 am

Reader Question: N76 Brings Organism Conundrum for Wet Mount/KOH Tests

Question: The lab performs a wet mount and KOH test for a vaginal smear from a patient with vaginitis. The wet mount is positive, showing clue cells, and the [...]

Posted on: 8 November 2016 | 4:11 am

Reader Question: Capture CMV Test and Diagnosis

Question: The clinician performs a flexible bronchoscopy with transbronchial biopsy from a lung transplant patient with suspected infection, and submits the specimen to pathology for examination. The pathologist examines [...]

Posted on: 8 November 2016 | 4:11 am

You Be the Coder: Look to CLFS, MACs for MAAA Pricing

Question: We read in a past issue of Pathology/Lab Coding Alert [Vol. 14, No. 3] that we should bill MAAA codes to Medicare using the underlying component tests. Is [...]

Posted on: 8 November 2016 | 4:11 am