You Be the Coder: Capture Individual Specimens

Question: Two specimen containers arrived for diagnosis, the first containing tissue identified as an “umbilical hernia.” The pathologist identified the contents of this container as an umbilical hernia sac, and a [...]

Posted on: 4 September 2017 | 6:09 am

Part 2: Coagulation Management: Follow Home PT/INR Monitoring Rules

Avoid G0250 frequency pitfall. In addition to ordering a Prothrombin Time (PT) lab test, physicians might ask certain patients to perform home PT monitoring to manage warfarin [...]

Posted on: 4 September 2017 | 6:09 am

CPT® 2018 Lab Preview: Get Ready for Numerous Additional Molecular Codes

Look for novel RSV and Zika test codes, too. If you want the scoop on new 2018 clinical laboratory test codes coming down the pike, look no [...]

Posted on: 4 September 2017 | 6:09 am

Part 1: Coagulation Management: 3 Tips Show You How to Correctly Code PT Lab Tests

Don’t skip this modifier — or you can expect claims denials. Monitoring PT/INR for patients on anticoagulation therapy is fraught with coverage and coding pitfalls that will [...]

Posted on: 4 September 2017 | 6:09 am

Reader Question: Follow Medicare's 60 Repayment Rule

Question: Is it true that we have only 60 days to return any overpayments to federal health programs? Supercoder Subscriber Answer: Yes, CMS issued a rule [...]

Posted on: 4 September 2017 | 6:09 am

Reader Question: Focus 83020 Testing

Question: Our lab is performing a new test using capillary electrophoresis to evaluate whole blood for hemoglobin fractions. The assay quantifies levels of hemoglobin A, A2, and F. How should we [...]

Posted on: 4 September 2017 | 6:09 am

Reader Question: Spotlight Accurate Strep-Test Ordering Dx

Question: Our lab received an order for a strep test for a patient with “recent onset sore throat” to “rule out strep.” What ICD-10 code should we use? [...]

Posted on: 8 August 2017 | 5:08 am

You Be the Coder: Don't Lose Pay for 'Scant' Bone Marrow Aspirate

Question: Our pathologist examined a bone marrow aspirate and reported “scant cellular spicules.” However, the report also stated “erythroid cells, too few in number to assess dysplasia; blasts markedly decreased, with [...]

Posted on: 8 August 2017 | 5:08 am

News You Can Use: Anticipate MPFS Price Change for Your Pathology Services

Comment on CLFS revaluation process too. CMS recently released the proposed rule for the 2018 Medicare Physician Fee Schedule, and the word is that you should expect [...]

Posted on: 8 August 2017 | 5:08 am

Reader Question: Beware Unbundling 'Sample Validation'

Question: Can we bill together a urinalysis for pH and constituents (81001) and a urine drug test (80305)? Mississippi Subscriber Answer: You should be careful about [...]

Posted on: 8 August 2017 | 5:08 am