Advanced Search

Pathology/Lab Coding Alert

Clip-n-Save:

Use This Handy Chart to Keep Medicare's Bone Rules at a Glance

Published on Tue Feb 16, 2010

Don't double dip on extraction and evaluation pay. Bone sampling and interpretation offer all the proof you need that sending the right code to a payer isn't as simple as checking the CPT manual. You have to know when to turn to HCPCS and Correct Coding Initiative (CCI) edits, too. Pathologists may procure and evaluate different bone specimens for a variety of reasons, according to R.M. Stainton Jr., MD, president of Doctor's Anatomic Pathology in Jonesboro, Ark. But that doesn't mean you can report all of the codes all of the time. Here's a quick rundown of what the CCI Policy Manual, chapter 10, section F, has to say about reporting bone specimen sampling and evaluation.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pathology/Lab Coding Alert

View All