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APF Pathology Service Coding Handbook

October, 2017 APF Pathology Service Coding Handbook - Version 17.4

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Subscriber Special Bulletin: 8-1-17


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.

CY 2018 Medicare Physician Fee Schedule Proposed Rule Released

On July 21, 2017, CMS published the proposed changes to the 2018 Medicare Physician Fee Schedule (MPFS). The CMS proposed change includes an overall 0.31% increase to payments under the MPFS. This increase reflects the 0.5% positive adjustment mandated by the Medicare Access and CHIP Reauthorization Act (MACRA) which is reduced by 0.19% due to the misvalued code target recapture amount.

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Subscriber Special Bulletin: 9-27-17


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.

CMS Issues Date of Service Guidance for Professional Claims

On September 19, 2017, CMS published SE17023, Guidance on Coding and Billing Date of Service on Professional Claims. The guidance states that most surgical and anatomic pathology services have two components as identified in the Medicare Physician Fee Schedule (MPFS) with PC/TC indicator of "1".

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