Laboratory|Pathology Articles and Resources
News and Important Information2021 ICD-10-CM Codes for your specialty 12/22/2020 Detection by Nucleic Acid (DNA or RNA) - Amplified Probe Technique Date of Service (DOS) for Clinical Laboratory and Pathology Specimens (Rev. 4481; Issued: 12-20-19, Effective: 01-01-20, Implementation: 01-23-20) Lab National Coverage Determinations (NCDs) CMS.gov Alphabetical Index Code SetsCPT CodesLaboratory and Pathology CPT Codes ICD-10-CM CodesICD-10-CM Diagnosis Codes HCPCS CodesLaboratory and Pathology HCPCS Codes NDC CodesNational Drug Codes Find-A-Code's Tools & ResourcesMedical Lab Tests SearchSearch our extensive database of medical laboratory tests and information about each test. Click-A-Dex™Click-A-Dex™ Index Search Tool Build-A-CodeStep-by-step coding from all major code sets. NCCI Edits ValidatorValidate using NCCI edits for errors in code selection. Pro-Fee CalculatorVerify Medicare Reimbursement and UCR Fees for Professional Services Map-A-CodeSearch the TOP codes for Diagnostic Lab tests Commercial Payer PoliciesView Clinical Indications for Medical necessity on procedures, Suggested Code Selection to assist your clinical judgment includes citations. Find-A-NPI™Find-A-NPI™ Fast Provider Lookup Additional Links and ResourcesNoridian: Laboratory ResourcesNoridian JE Part B Laboratory Resources Molecular Diagnostic Services (MolDX)Molecular Diagnostic Services (MolDX) Quest DiagnosticsQuest Diagnostics Home Q2 SolutionsClinical trial laboratory services organization Diagnostic TestsPurchased or Personally Performed - Noridian PAMA RegulationsProtecting Access to Medicare Act of 2014 CLFS Regulations and NoticesClinical Laboratory Fee Schedule Regulations and Notices CMS- Categorization of TestsCLIA, Waived, Subject to, Excluded HHS - CLIASearch the CLIA Database Laboratory ServicesCh. 16 Medicare Claims Processing Manual Drugs and Biologicals Pub-100 Ch 17Drugs and Biologicals Pub-100 Ch 17 Billing Requirements for OPPSBilling Requirements for OPPS Providers with Multiple Service Locations MLN Fact SheetCLINICAL LABORATORY FEE SCHEDULE Lab National Coverage Determinations (NCDs)CMS.gov Alphabetical Index Clinical Diagnostic Laboratory ServicesMedicare Advantage policy guideline from UnitedHealthcare United HealthcareLaboratory Services Policy, Professional Select the title to see a summary and a link to the full article. December 23rd, 2020 ICD-10-CM 2021 Codes for your Specialty| Published December 23rd, 2020
1. Certain infectious and parasitic diseases (A00-B99)
Code: Description:A84.81 Powassan virus diseaseA84.89 Other tick-borne viral encephalitisB60.00 Babesiosis, unspecifiedB60.01 Babesiosis due to Babesia microtiB60.02 Babesiosis due to Babesia duncaniB60.03 ... October 27th, 2020 OIG – Fraud and Abuse Study with COVID-19 Testing| Published October 27th, 2020
According to the Office of Inspector General (OIG), “The coronavirus disease 2019 (COVID-19) pandemic has led to an unprecedented demand for diagnostic laboratory testing to determine whether an individual has the virus. Beyond the COVID-19 tests, laboratories can also perform add-on tests, for example, to confirm or rule out diagnoses ... August 10th, 2020 Modifier 50 — Four "Must Know" Tips For Getting Paid| Published August 10th, 2020 Modifiers added to an HCPCS or CPT© code alters the code description, providing clarity about the service for proper claim processing and reimbursement. Here are four things you must know about modifier 50 to ensure proper payment. - Modifiers are either informational or payment related. Informational modifiers provide additional... July 14th, 2020 Are NCCI Edits and Modifiers Just for Medicare?| Published July 14th, 2020 The National Correct Coding Initiative (NCCI) edits were developed by CMS to help promote proper coding and control improper coding that leads to incorrect payments with part B claims. It is important to understand that NCCI edits do not include every possible code combination or every type of un-bundling combination. With that ... April 20th, 2020 Now That is Fraud! Genetic Testing "Public alert"| Published April 20th, 2020 Genetic testing is becoming very popular. In fact, so popular you might see it in places you would not expect such as a community event, fairs or any event happening in your community. Some labs may even offer FREE screening for genetic testing. Watch for FREE screening announcements or advertisements ... April 15th, 2020 New CPT® Codes Approved for COVID-19 Antibody Identification| Published April 15th, 2020 On April 10, 2020, the American Medical Association approved and published a revision of code 86318 and added two new codes 86328 and 86769 for reporting Coronavirus [COVID-19] antibody testing. April 13th, 2020 CPT Coding Guidance on New Lab Code for COVID-19| Published April 13th, 2020 According to the AMA, "The Addition of one Category I Pathology and Laboratory code (87635) for severe acute respiratory syndrome coronavirus 2 (SARS-2-CoV-2) (Coronavirus disease [COVID-19]) accepted at the March 2020 CPT Editorial Panel meeting.
*Note that code 87635 will be a child code under parent code 87471. It is represented here ... October 1st, 2019 Do ICD-10 Updates Have Your Heart Beating Irregularly? Check Out the New Atrial Fibrillation Codes| Published October 1st, 2019 Atrial fibrillation (AF) is the most common type of abnormal heart rhythm (arrhythmia). It is caused by a disorder in the heart’s electrical system. AF is the result of abnormal contractions of the atria (upper two chambers of the heart) causing them to quiver and beat out of sync with ... August 9th, 2019 The OIG Work Plan: What Is It and Why Should I Care?| Published August 9th, 2019 - Last Review/Update August 14th, 2019 The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ... July 12th, 2019 5 Ways to Minimize HIPAA Liabilities| Published July 12th, 2019 - Last Review/Update July 30th, 2019 Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability.
Take ... There are more articles. View all articles... View articles for the current specialty by subtopic: (There are no webinars at this time, please check back later.) Advanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolBilateral Surgeries: Claim SubmissionCommonly Used Medicare Modifiers - GA, GX, GY, GZCompliance Program Guidance for Clinical LaboratoriesMedicare Part B Clinical Laboratory Fee ScheduleNoridian: Allowed Amount ReductionsPhysician Assistant (PA) Resources NoridianProvider Compliance Tips for Laboratory Tests - Blood CountsSummary of the HIPAA Privacy Rule by HHS (There are no podcasts at this time, please check back later.)
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