Laboratory|Pathology Articles and Resources

News and Important Information

2021 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 Sets

CPT Codes

Laboratory and Pathology CPT Codes

ICD-10-CM Codes

ICD-10-CM Diagnosis Codes

HCPCS Codes

Laboratory and Pathology HCPCS Codes

NDC Codes

National Drug Codes

Find-A-Code's Tools & Resources

Medical Lab Tests Search

Search our extensive database of medical laboratory tests and information about each test.

Click-A-Dex™

Click-A-Dex™ Index Search Tool

Build-A-Code

Step-by-step coding from all major code sets.

NCCI Edits Validator

Validate using NCCI edits for errors in code selection.

Pro-Fee Calculator

Verify Medicare Reimbursement and UCR Fees for Professional Services

Map-A-Code

Search the TOP codes for Diagnostic Lab tests

Commercial Payer Policies

View 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 Resources

Noridian: Laboratory Resources

Noridian JE Part B Laboratory Resources

Molecular Diagnostic Services (MolDX)

Molecular Diagnostic Services (MolDX)

Quest Diagnostics

Quest Diagnostics Home

Q2 Solutions

Clinical trial laboratory services organization

Diagnostic Tests

Purchased or Personally Performed - Noridian

PAMA Regulations

Protecting Access to Medicare Act of 2014

CLFS Regulations and Notices

Clinical Laboratory Fee Schedule Regulations and Notices

CMS- Categorization of Tests

CLIA, Waived, Subject to, Excluded

HHS - CLIA

Search the CLIA Database

Laboratory Services

Ch. 16 Medicare Claims Processing Manual

Drugs and Biologicals Pub-100 Ch 17

Drugs and Biologicals Pub-100 Ch 17

Billing Requirements for OPPS

Billing Requirements for OPPS Providers with Multiple Service Locations

MLN Fact Sheet

CLINICAL LABORATORY FEE SCHEDULE

Lab National Coverage Determinations (NCDs)

CMS.gov Alphabetical Index

Clinical Diagnostic Laboratory Services

Medicare Advantage policy guideline from UnitedHealthcare

United Healthcare

Laboratory Services Policy, Professional

Select the title to see a summary and a link to the full article.

ICD-10-CM 2021 Codes for your Specialty

|

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        ...

Read the article →

OIG – Fraud and Abuse Study with COVID-19 Testing

|

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 ...

Read the article →

Modifier 50 — Four "Must Know" Tips For Getting Paid

|

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...

Read the article →

Are NCCI Edits and Modifiers Just for Medicare?

|

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 ...

Read the article →

Now That is Fraud! Genetic Testing "Public alert"

|

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 ...

Read the article →

New CPT® Codes Approved for COVID-19 Antibody Identification

|

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.

Read the article →

CPT Coding Guidance on New Lab Code for COVID-19

|

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 ...

Read the article →

Do ICD-10 Updates Have Your Heart Beating Irregularly? Check Out the New Atrial Fibrillation Codes

|

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 ...

Read the article →

The OIG Work Plan: What Is It and Why Should I Care?

|

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 ...

Read the article →

5 Ways to Minimize HIPAA Liabilities

|

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 ...

Read the article →

Show older articles ↓


There are more articles. View all articles...

View articles for the current specialty by subtopic:




Access to this feature is available in the following products:
  • HCC Plus
  • Find-A-Code Professional
  • Find-A-Code Facility Base




   (There are no webinars at this time, please check back later.)


   (There are no podcasts at this time, please check back later.)



suggest a resource

If you know of a resource that should be included here (links, data, etc.) please contact us.

free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.