Laboratory Question for the Week of November 20, 2017
Is there more than one unlisted code for lab tests that have no CPT® codes?
Is there more than one unlisted code for lab tests that have no CPT® codes?
Do you have any idea whether CMS will go ahead with the preliminary CLFS rates or make changes due to the industry’s negative response?
Which test and code are recommended for reporting hypo- or hyperthyroid states?
Do you know what the payment rate would be for CPT® codes 85025 (CBC) and 80061 (lipid panel) under the new proposed CLFS?
What does PAMA specifically say about CLFS payment rate decreases? I know that CMS has proposed reductions for 2018, and I just wonder how these comply with the original law.
Is there any word yet from CMS on the new CLFS rates for 2018?
If a Medicare claim for a lab test is denied due to one of the CCI edits, can it be billed to the beneficiary?
Where can I find the latest diagnosis code changes to the laboratory NCDs?
The CCI code-pair edits include a column with a modifier indicator—sometimes 0, 1, or 2. What do each of these represent?
How can I check on the test complexity for a specific test system?
How does CMS determine whether a test is moderate or high complexity, or if it is waived?
Is it appropriate to bill for the thawing of fresh frozen plasma (FFP)?
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