13 Laboratory Code Updates Effective Now

13 Laboratory Code Updates Effective Now

Clinical diagnostic laboratories can look forward to 12 new laboratory codes were effective April 1 and one code effective retroactively January 1. The Centers for Medicare and Medicate Services (CMS) released the changes May 5, 2018.

The new codes are contractor priced until addressed at the annual Clinical Laboratory Public Meeting in July. All the U codes will have HCPCS Pricing Indication code 22, which means the price is established by Medicare Administrative Contractors (MACS. instead of being subject to the National Limitation Amount.

Laboratory Codes Effective April 1, 2018

  • 0035U
    • TOS 5
    • Short Descriptor—Neuro csf prion prtn qual;
    • Long Descriptor—Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative
  • 0036U
    • TOS 5
    • Short Descriptor—Xome tum & nml spec seq alys;
    • Long Descriptor— Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence analyses
  • 0037U
    • TOS 5
    • Short Descriptor—Trgt gen seq dna 324 genes;
    • Long Descriptor— Targeted genomic sequence analysis, solid organ neoplasm, DNA analysis of 324 genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instability and tumor mutational burden
  • 0038U
    • TOS 5
    • Short Descriptor—Vitamin d srm microsamp quan;
    • Long Descriptor— Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative
  • 0039U
    • TOS 5
    • Short Descriptor—Dna antb 2strand hi avidity;
    • Long Descriptor— Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity
  • 0040U
    • TOS 5
    • Short Descriptor—Bcr/abl1 gene major bp quan;
    • Long Descriptor— BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative
  • 0041U
    • TOS 5
    • Short Descriptor—B brgdrferi antb 5 prtn igm;
    • Long Descriptor—Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM
  • 0042U
    • TOS 5
    • Short Descriptor—B brgdrferi antb 12 prtn igg;
    • Long Descriptor—Borrelia burgdorferi, antibody detection of 12 recombinant protein groups, by immunoblot, Ig
  • 0043U
    • TOS 5
    • Short Descriptor—Tbrf b grp antb 4 prtn igm;
    • Long Descriptor—Tick- borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM
  • 0044U
    • TOS 5
    • Short Descriptor—Tbrf b grp antb 4 prtn igg;
    • Long Descriptor—Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG0024U Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative
  • 0012M
    • TOS 5
    • Short Descriptor—Onc mrna 5 gen rsk urthl ca;
    • Long Descriptor— Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 [CDK1], IGFBP5, and XCR2), utilizing urine, algorithm reported as a risk score for having urothelial carcinoma
  • 0013M
    • TOS 5
    • Short Descriptor—Onc mrna 5 gen recr urthl ca;
    • Long Descriptor— Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 [CDK1], IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score for having recurrent urothelial carcinoma

 

Laboratory Codes Effective January 1, 2018

And this code became effective January 1:

  • 0011M
    • TOS 5
    • Short Descriptor—Onc prst8 ca mrna 12 gen alg;
    • Long Descriptor— 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
Brad Ericson

Brad Ericson

Director of Publishing at AAPC
Brad Ericson, MPC, CPC, COSC, has been director of publishing for more than 10 years. Before AAPC he was at Optum for 13 years and Aetna Health Plans prior to that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.
Brad Ericson

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About Has 318 Posts

Brad Ericson, MPC, CPC, COSC, has been director of publishing for more than 10 years. Before AAPC he was at Optum for 13 years and Aetna Health Plans prior to that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.

One Response to “13 Laboratory Code Updates Effective Now”

  1. Natassia says:

    I need further help regarding this. Can you please help? Thanks.

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