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2022 Final Medicare Fee Schedule: See impact to pathology

2022 Final Medicare Fee Schedule: See impact to pathology

by Alex Mitchell | Nov 3, 2021 | Revenue Cycle Management, Pathology Management, Billing & CPT Codes, CMS Fee Schedules

One year after Congress delayed planned fee schedule cuts due to the Covid-19 pandemic, it appears pathologists and other specialists are now going to experience payment reductions designed to offset boosts for evaluation and management (E/M) services in 2022,...
2022 CPT updates for pathology consults

2022 CPT updates for pathology consults

by Alex Mitchell | Oct 28, 2021 | Revenue Cycle Management, Billing & CPT Codes

The following are 2022 Current Procedural Terminology (CPT) coding updates for pathology consultations. When talking with your billers, make sure they have added these new codes in their systems and your fee schedules. CPT 80500 and 80502 will be deleted in...
2022 Covid-19 coding updates and revisions

2022 Covid-19 coding updates and revisions

by Alex Mitchell | Oct 11, 2021 | Revenue Cycle Management, Pathology Management, Billing & CPT Codes

The following updates for Covid-19-related codes went into effect Oct. 1, 2021: NEW: U09.9 – Post COVID-19 conditions, unspecified This code is not to be used in cases that are still presenting with active COVID-19.  However, an exception is made in cases if...
2022 CPT updates for pathology consults

UHC Medicare Advantage claims to require DEX Z-code beginning Oct. 1

by Alex Mitchell | Sep 9, 2021 | Revenue Cycle Management, Pathology Management, Billing & CPT Codes

By: AJ Lech, Client Administrator, Lighthouse Lab Services The UnitedHealthcare Medicare Advantage product will now require a DEX Z-code, effective 10/1/21. Similar to Medicare, the Z-code will be submitted in the Loop 2400. UHC will not require any separate...
Cigna to continue paying professional component of clinical pathology

Cigna to continue paying professional component of clinical pathology

by Alex Mitchell | Jun 9, 2021 | Revenue Cycle Management, Pathology Management, Billing & CPT Codes

After previously stating its intent to stop paying the professional component of clinical pathology (PC/CP), Cigna has reversed course and will continue paying for these services after receiving significant pushback from the College of American Pathologists and others...
Cigna to cease payment for professional component of clinical pathology

Cigna to cease payment for professional component of clinical pathology

by Alex Mitchell | Apr 16, 2021 | Billing & CPT Codes, Revenue Cycle Management

Cigna, one of the last remaining payers that reimburses the professional component of clinical pathology, will look to officially end that practice this summer, according to an update posted April 12. In the update to its Modifier 26 Professional Component Policy,...
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