Laboratory Question for the Week of February 12, 2018
What is the annual update for local lab fees this year?
What is the annual update for local lab fees this year?
Will Medicare separately pay for any of the codes assigned for specimen collection?
As I understand the Medicare rules, physician interpretation of a molecular pathology procedure (e.g., CPT® codes 81161–81408) may be reported with HCPCS code G0452 (molecular pathology procedure; physician interpretation and report) as long as certain criteria are met. What are those criteria?
If we perform most of the components of an obstetric panel in our hospital lab but we have to send out one component to a reference lab, would we append the modifier 90 to the entire panel, or do we have to report each component separately and append the modifier 90 to only the CPT® code that was sent out?
What codes should be reported if a bone biopsy is performed for evaluation of bone matrix structure?
Why does CMS exclude molecular pathology lab tests from packaging under the OPPS?
What is the Medicare policy for packaging of laboratory tests?
How should modifier 91 be reported under the National Correct Coding Initiative (NCCI) program?
For 2018, what codes should be used for drug-of-abuse testing?
When will CMS make a decision about whether to go ahead with the new, but inadequate, CLFS rates?
Last week you gave a list of options that a referring lab must meet to be able to bill for clinical lab tests on the CLFS. We are interested in the one about the lab not referring more than 30 percent of the tests for which it receives testing requests, etc. How does CMS determine the 30 percent exception option?
Can a referring lab bill for clinical laboratory diagnostic tests on the CLFS?
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