Optum360 coding books logo
Optum360Coding.com
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
January 25, 2018


Four Tests Added to List of CLIA Waived Tests

In early January, the Centers for Medicare and Medicaid Services (CMS) announced new waived tests... Learn More


New and Revised Vaccine Codes Added to 2018 CPT Code Book

The American Medical Association (AMA) added and revised several vaccine CPT codes for its 201... Learn More


OIG Recommends Measures for Curbing Opioid Misuse and Fraud

Office of Inspector General testimony before the House Committee on Ways and Means in January ... Learn More


View Article Archive

Subscribe:
To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:
 

Medical Coding News Archives

Technical Component of Physician Pathology Services

 
June 20, 2013:

Regina Magnani, RHIT, Clinical/Technical Editor

As of June 25, 2013, retroactive to July 1, 2012, hospitals must bill the technical component (TC) of physician pathology services for inpatients or outpatients when the TC service is bundled into the facility payment, as it is for hospitals paid under the inpatient and outpatient prospective systems.

More than a decade ago, Medicare intended to prohibit, as of January 1, 2001, independent laboratories from billing and receiving payment for the technical component (TC) of pathology services rendered to hospital inpatients or outpatients. However, numerous regulatory updates and Centers for Medicare and Medicaid Services (CMS) administrative decisions extended a moratorium on this prohibition until 2008. Then the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 once again extended the implementation date for this provision until June 30, 2012.

Hospitals that had an arrangement with an independent laboratory before July 22, 1999, that allowed the laboratory to bill the TC of physician pathology services for Medicare fee-for-service beneficiaries were allowed to continue under this arrangement until July 1, 2012.

When the service is performed in an institutional setting, such as an ambulatory surgery center, but not bundled into the facility payment, payment is made under the physician fee schedule for TC services. Payment may be made under the physician fee schedule for the TC of physician pathology services furnished by an independent laboratory, or a hospital acting as an independent laboratory, to non-hospital patients. The physician fee schedule identifies physician laboratory or physician pathology services that have a TC component.

 

 
Sign in to
Your Account
USERNAME
Forgot your username?
PASSWORD
Forgot your password?
Don't have an account?
It's easy to create one.
Promo code

Have a promotional source code? Enter it here:


What is this?
Shop our catalog

Request or check out the electronic version of our latest catalog.

Medical Coding Books Winter 2018 Catalog