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APF Pathology Service Coding Handbook

October, 2018 APF Pathology Service Coding Handbook - Version 18.4

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Subscriber Special Bulletin: 11-7-18


This alert is provided as a service to APF Pathology Service Coding Handbook subscribers. It provides important information of immediate interest to pathologists, independent laboratories, hospitals, and support entities.

Local Coverage Determinations (LCDs) Process Modernization

On Oct. 3, 2018, CMS issued MM10901 (Change Request 10901) detailing policy process changes to the Local Coverage Determination (LCD) process in efforts to increase transparency and consistency in coverage policy concerns. The MLN Matters article details the new LCD process including LCD requests, development of LCDs and publication of proposed policies as well as the establishment of a Contractor Advisory Committee, open meeting protocol and publication deadlines.

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Subscriber Special Bulletin: 11-28-18


This alert is provided as a service to APF Pathology Service Coding Handbook subscribers. It provides important information of immediate interest to pathologists, independent laboratories, hospitals, and support entities.

ICD-10-CM Updates Effective Nov. 28, 2018

2019 Medicare Physician Fee Schedule (MPFS) Final Rule

The 2019 Medicare Physician Fee Schedule (MPFS) was published on Nov. 23, 2019. The adopted 2019 conversion factor of $36.0391 will result in up to a minus 2% payment rate change to pathology groups and independent laboratories based on work and practice expense RVU adjustments.

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