Pathology laboratories are crucial in healthcare, significantly influencing medical decisions through lab test results despite generating limited revenue. Proper billing and coding practices, including the use of updated CPT codes, are essential for ensuring efficient revenue cycles in these laboratories. 24/7 Medical Billing Services offers specialized billing solutions to optimize pathology lab operations and improve financial outcomes.

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Pathology laboratories are vital in any medical practice as a unique
medical field establishment. However, this kind of establishment can
vary in iterations and size and, at times, can be part of the hospital. Most
laboratories are established near hospitals or medical practice facilities,
given the work it does. While hospital labs generate only 3 to 5 percent
of hospital revenue, their findings make 70 to 80 percent of a
patient’s electronic health record (EHR). Furthermore, CDC estimated
that almost 70 percent of doctors’ medical decisions are based on lab
test results. This means careful attention needs to be given to improving
the revenue process of a pathology lab so that it can invest in the latest
testing technology, other lab resources, and staffing so the patient
outcome is better. But all these steps begin with proper coding for the
pathology tests done, correct Pathology lab billing, on-time claim
submission, and minimizing the denials so that patient outcome is better.

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Pathology Lab Billing Services & Coding Guidelines
Typically, a pathology lab can be categorized into the following:
• Independent laboratory
• Physician office laboratory
• Clinical Laboratory
• Referring laboratory
• Reference Laboratory
• Billing laboratory
• Medicare-Approved laboratory
Therefore, the pathology coders have to understand the different needs
of the payers, the documentation required, different types of payers, and
the various procedural set. As mentioned earlier, the use of correct CPT
codes is a must in pathology billing and coding in accordance with the
following guidelines:

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New CPT codes have been added:
80081: Obstetric panel examination, including testing for HIV
81170, 81162, 81218, 81219, 81272, 81273, 81276, 81311,
81314: Genome, gene-specific, and molecular pathology
procedures.
81228, 81229, 81405, 81406: Analyses of Cytogenomic
microarray
81280, 81282: Analyses of long QT syndrome gene
81412, 81432, 81433, 81434, 81437, 81438, 81442: Different
Molecular Multianalyte Assays and procedures for genomic
sequencing
81490, 81493, 81525, 81528, 81535, +81536, 81538, 81540,
81545, 81595, 0009M, 0010M: MAAAs that have Multianalyte
Assays

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Revised CPT Codes
81210, 81275, 81355, 81401, 81402, 81403, 81404, 81405,
81406: Molecular Pathology
81435, 81436, 81445, 81450, 81455: Different Molecular
Multianalyte Assays and Procedures for Genomic Sequencing
82542, 83789: Chemistry
86708, 86709: Immunology
87301, 87305, 87320, 87324, 87327, 87328, 87329, 87332,
87335, 87336, 87337, 87338, 87339, 87340, 87341, 87350,
87380, 87385, 87389, 87390, 87391, 87400, 87420, 87425,
87427, 87430, 87449, 87450, 87451, 87502, +87503:
Microbiology
88346: Surgical Pathology

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Are you wondering which pathology coding and billing company
adheres to the pathology laboratory billing and coding
guidelines? It is the 24/7 Medical Billing Services. They have a
team of pathology laboratory billing and coding experts who
know the latest codes and modifiers and the constant updates
and changes made in the rules and regulations of coding created
by the governing bodies, Medicare, Medicaid, and insurance
companies.
Also, 24/7 Medical Billing Services uses the latest pathology lab
billing software to accurately process billing and coding. It allows
the entire process to be done quicker, which means the payment
process is faster with 100% reimbursements.
It is time to understand pathology labs coding and billing process
and increase the service’s revenue in no time with the help of an
outsourcing pathology coding and billing partner like 24/7
Medical Billing Services.

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We are a medical billing company that offers ‘24/7 Medical Billing
Services’ and support physicians, hospitals, medical institutions and
group practices with our end to end medical billing solutions. We help
you earn more revenue with our quick and affordable services. Our
customized Revenue Cycle Management (RCM) solutions allow
physicians to attract additional revenue and reduce administrative
burden or losses.

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Media Contact:
24/7 Medical Billing Services
Georgia
3001 Greenfield Drive, Marietta GA 30068
Ohio
28405 Osborn Road, Cleveland, OH 44140
Texas
2028 E Ben White Blvd, #240-1030 Austin TX, 78741
Delaware
16192 Coastal Highway, Lewes, Delaware 19958, United States
Phone no / Fax : +1 888-502-0537
Email us: info@247medicalbillingservices.com