CPT® 2018: Greet New Way to Capture INR Monitoring

Change involves code additions and deletions. If your lab/pathologist is involved in anticoagulation management, you have two new and two deleted codes in CPT® 2018 that you'll [...]

Posted on: 9 January 2018 | 1:01 am

Documentation: Master Clean Claims with Targeted Queries

Know when to ask for clarification. Sometimes you face a pathology report that seems to contain conflicting statements, or that has missing information that is critical to [...]

Posted on: 9 January 2018 | 1:01 am

Reader Question: Determine Reason for Lead Test

Question: A physician ordered a lead test as part of a pre-adoption examination for a 3-year-old child. How should we code this? SuperCoder Subscriber [...]

Posted on: 9 January 2018 | 1:01 am

CLFS: Check Out New Code Pricing and More

Learn how ADLTs are different. The vast majority of codes paid on the Clinical Laboratory Fee Schedule (CLFS) adhere to the pricing determinations described in “Grasp Final [...]

Posted on: 9 January 2018 | 1:01 am

Reader Question: Medical Necessity Can Trump CCI

Question: Our physician office lab performed rapid strep and rapid influenza tests that the provider ordered for a patient, but we received a denial when we billed 87880 and 87804 [...]

Posted on: 9 January 2018 | 1:01 am

You Be the Coder: Choose Specific Colon Polyp Code

Question: We are trying to assign a diagnosis code for a specimen that the pathology report lists as “colon polyp.” Should we report K63.5? Kentucky Subscriber [...]

Posted on: 9 January 2018 | 1:01 am

Clinical Lab: Grasp Final CLFS Pricing Details for Your Lab

See exceptions to weighted-median valuation. Brace for payment reductions to about three quarters of your lab tests paid under the Clinical Laboratory Fee Schedule (CLFS) in 2018. [...]

Posted on: 9 January 2018 | 1:01 am

Reader Question: Identify Symptoms for Drug Screen Testing

Question: We're a physician office lab, and we had one of our doctors order a drug “screening” for a patient whom he described as “in a daze, insensible.” I thought [...]

Posted on: 7 December 2017 | 1:12 am

Reader Question: Round Up Codes for This Pap Scenario

Question: We received a request for a Pap test six months following a prior Pap for the same patient that resulted in a diagnosis of ASC-H. Our lab performs a [...]

Posted on: 7 December 2017 | 1:12 am

Reader Question: Include All 80061 Components

Question: Our lab has a physician client who routinely orders total cholesterol and triglycerides. Should we report the lipid panel code for this work? Ohio Subscriber [...]

Posted on: 7 December 2017 | 1:12 am