by Medical Billing | Jul 12, 2018 | Medicare payment basics
Payment for Pathology ServicesA.Payment for Professional Component (PC) Services Payment may be made under the physician fee schedule for the professional component of physician laboratory or physician pathology services furnished to hospital inpatients or outpatients...
by Medical Billing | Dec 29, 2017 | Medicare payment basics
LABORATORY MDHHS follows Medicare’s current OPPS coverage policies as closely as possible and appropriate. In those instances where program differences require coverage disparity, the differences will be reflected through the application of the MDHHS specific status...
by Medical Billing | May 30, 2017 | Medicare payment basics
All In-Office Laboratory Testing and Procedures: Marked with *, **, ***, ****, and ***** will be limited to one procedure within the same family of asterisks, per visit. Example: All laboratory testing/procedure codes that are marked with one * will only...
by Medical Billing | Jan 20, 2017 | Medicare payment basics
Procedure code and Description 88312 SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP I FOR MICROORGANISMS (EG, ACID FAST, METHENAMINE SILVER) 88313 SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP II, ALL OTHER (EG, IRON, TRICHROME), EXCEPT STAIN FOR...
by Medical Billing | Jan 11, 2017 | Medicare payment basics
Procedure Code and Description 81211 BRCA1, BRCA2 (BREAST CANCER 1 AND 2) (EG, HEREDITARY BREAST AND OVARIAN CANCER) GENE ANALYSIS; FULL SEQUENCE ANALYSIS AND COMMON DUPLICATION/DELETION VARIANTS IN BRCA1 (IE, EXON 13 DEL 3.835KB, EXON 13 DUP 6KB, EXON 14-20 DEL...