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Laboratory Question for the Week of May 21, 2018


When does the new MAAA code for oncology take effect?


The American Medical Association CPT® Editorial Panel established the following new MAAA code that took effect on January 1, 2018.

0011M Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing blood plasma and/or urine, algorithms to predict high-grade prostate cancer risk A

In transmittal 3988, the Centers for Medicare & Medicaid Services noted that it had assigned the status indicator of “A” to it, which basically means that when these services are furnished to a hospital outpatient they will be paid under another payment system other than the outpatient prospective payment system (i.e., clinical laboratory fee schedule).

CPT® is a registered trademark of the American Medical Association.

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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.