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APF Pathology Service Coding Handbook

July, 2020 APF Pathology Service Coding Handbook - Version 20.3

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Subscriber Special Bulletin: 7-01-20


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

COVID-19 Information

There are many resources for current and correct information regarding the SARS-CO-V-2 virus that causes the disease known as COVID19.

Version 20.3 of the Pathology Service Coding Handbook includes new Appendix 23 that lists CPT and HCPCS codes, and HCPCS modifiers associated with COVID19 testing. This information may need to be manually added to electronic health record systems as well as charge master lists.

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Subscriber Special Bulletin: 4-15-20


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

Clinical Laboratory Fee Schedule Reporting Delay under PAMA

CMS has announced that the PAMA data reporting period has been delayed by one year. Laboratory test payment data will now be reported between Jan. 1 and March 31, 2022

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Subscriber Special Bulletin: 3-27-20


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.

Merit Based Incentive Payment System (MIPS) 2019 Data Submission Period Extended

The data submission reporting deadline for MIPS eligible clinicians participating in Year 3 (2019) has been extended to April 30, 2020. Eligible clinicians will be scored and receive a MIPS payment adjustment based on data that has already been submitted or will be submitted by the extended deadline. Submitted data can be revised up until April 30th.

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Subscriber Special Bulletin: 11-25-19


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.

FY 2020 ICD-10-CM Uncertain Diagnosis Revision

On Oct. 1, 2019, the official 2020 ICD-10-CM guidelines officially updated the terms that are now considered Uncertain Diagnosis: "Do not code diagnoses documented as "probable," "suspected," "questionable," "rule out," "compatible with," "consistent with," or "working diagnosis" or other similar terms indicating uncertainty. Rather, code the condition(s) to the highest degree of certainty for that encounter/visit, such as symptoms, signs, abnormal test results, or other reason for the visit."

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