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2022 CPT Update: Clinical Pathology Consults

2022 CPT Update: Clinical Pathology Consults

by Alex Mitchell | Jun 17, 2022 | Billing & CPT Codes, Revenue Cycle Management

CPT 80500 and 80502 will be deleted in 2022.80500 (Clinical pathology consultation; limited, without review of patient’s history and medical records)80502 (… comprehensive, for a complex diagnostic problem, with review of patient’s history and medical records)There...
Cigna to Cap PC Clinical Pathology Reimbursement at $5 Beginning July 1

Cigna to Cap PC Clinical Pathology Reimbursement at $5 Beginning July 1

by Alex Mitchell | Apr 11, 2022 | Billing & CPT Codes, Pathology Management, Revenue Cycle Management

By: Amy Keil, Client Manager Letters from Cigna dated on or around April 1st, 2022, are not an April Fools’ Prank. It appears that Cigna is attempting a new additional tactic to manage their payment of the Professional Component of Clinical Pathology (PCCP). In this...
Cigna again moves to end PC clinical pathology payments

Cigna again moves to end PC clinical pathology payments

by Alex Mitchell | Oct 4, 2021 | Pathology Management, Revenue Cycle Management

Update: According to Cigna, its new PC clinical pathology policy will only result in denials “when the facility where the services were provided is contractually responsible for laboratory management and oversight services.” After holding off on the move...
Cigna to continue paying professional component of clinical pathology

Cigna to continue paying professional component of clinical pathology

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

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 | Revenue Cycle Management, Billing & CPT Codes

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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