Physician office lab news: Orthopedists’ most-reported lab codes face payment reduction Jan. 1

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This piece is a physician-office lab news update for orthopedic practices, coding professionals, and revenue cycle teams. It explains that CMS is changing Medicare valuation for clinical laboratory services and presents a comparison of commonly billed lab items, related denial-rate context, and payment trends tied to the 2018 fee schedule update.

Why This Topic Matters

It helps readers understand which frequently used lab services in orthopedic settings were affected by Medicare payment changes and why those changes may matter for planning, coding review, and reimbursement monitoring.

Article Sections

  1. Overview of Medicare clinical laboratory payment changes

    Summarizes the fee schedule update affecting clinical laboratory reimbursement and notes that payment amounts are being adjusted over multiple years.

  2. Frequently billed orthopedic lab codes and payment comparison

    Presents a table of commonly reported laboratory services in orthopedic practices along with utilization context, denial-rate information, and year-over-year payment comparisons.

  3. Expired HCPCS lab codes and crosswalk references

    Notes the presence of older HCPCS lab identifiers that remain listed in the fee schedule and references their current crosswalk identifiers.

What You Will Learn

  • How the article frames Medicare laboratory payment updates for orthopedic office settings
  • What categories of lab services are highlighted as commonly billed by orthopedic practices
  • How the article organizes utilization, denial, and payment comparison information
  • Why older HCPCS lab references are included alongside current crosswalk identifiers

Who Should Read This

  • Physician office staff
  • Orthopedic practice administrators
  • Medical coders
  • Billing and reimbursement professionals
  • Revenue cycle analysts

Codes Discussed


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