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. July 14th, 2021 How to Properly Assign ICD-10-CM Codes for Pain| Published July 14th, 2021 Pain is a common diagnosis among all specialties so it should not be surprising to find there are 162 ICD-10-CM codes for reporting it and over 80 mentions in the ICD-10-CM Official Guidelines for Coding and Reporting which describe when certain types of pain should be reported and how the codes should be sequenced. 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 ... There are more articles. View all articles... View articles for the current specialty by subtopic: Select the webinar title to view a summary and link to the webinar video. January 4th, 2018 Proper Coding and Billing for Drugs, Biologicals and InjectionsProper Coding and Billing for Drugs, Biologicals and Injections February 2nd, 2017 How to Check NCCI Edits Using FindACodeHow to Check NCCI Edits Using FindACode Capture Billing Medical Services - Commonly Used Medicare Modifiers - GA, GX, GY, GZCGS - Medicare Advanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolCGS Medicare - Bilateral Surgeries: Claim SubmissionCMS - Medicare Part B Clinical Laboratory Fee ScheduleCompliance Program Guidance for Clinical LaboratoriesHHS - Summary of the HIPAA Privacy Rule by HHSNoridian - Allowed Amount ReductionsNoridian - Physician Assistant (PA) ResourcesProvider Compliance Tips for Laboratory Tests - Blood Counts
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