Pathology/Lab Coding Alert

Coding Basics:

Make Better Modifier 59 Habits This Year

Avoid common, costly billing errors. Payers never stop scrutinizing claims that list “separate and distinct” services, thanks to perpetually high Office Inspector General (OIG)error rates for such billing. When you have a lab claim that includes procedures that the National Correct Coding Initiative (NCCI) bundles as procedure-to-procedure (PTP) code edits, you’ll need a modifier to override the edit pair, when [...]
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.