Wiki new path DOS rule

[CatchTheWind]

Medicare just changed their rules regarding pathology DOS.

They now expect you to use the biopsy date as the DOS of the technical component and the read date as the DOS of the professional component. This means that if you have been billing for the global service, you now have to start splitting your path claims into separate technical and professional components, with different dates of service for each (unless your pathologist reads the slides the same day the biopsy was taken). You'll get paid the same as if you billed the global code.

(We got this information from DermCoder (www.dermcoder.com)).

 

[bbooks]

Here is the bulletin from CMS: https://www.cms.gov/Outreach-and-Ed...-MLN/MLNMattersArticles/downloads/SE17023.pdf

My source says that since CMS has issued this as a guidance rather than a policy, so it's still unclear what we should be using for DOS for the professional component. We are encouraged to contact our local MACs for guidance. https://www.cms.gov/medicare-covera...rative-contractor-index.aspx?bc=AgAAAAAAAAAA&

 

[CodingKing]

I just got the email this morning that SE17023 was rescinded. The link posted by Pam was updated.

 

[bbooks]

Thanks. Yes, it is showing as rescinded now on the CMS web site.

 

[MCCONKEYT]

So. . . What date do we use for the date of service for the professional component for radiology and surgical patholgy services??? I have tried to trace this back to get my answer and am getting nowhere. We have been using the "read" date for a long time now for radiology services. If someone can direct me to the CMS concrete info I would so appreciate it.