Spotlight on 2018 CPT® and ICD-10 Changes for your Lab/Pathology Practice

Event Information
Product Format
Prerecorded Event
Presenter(s)
Ellen Garver, BS, BA, CPC
Conference Date
Thu, Dec 07, 2017
Length
90 minutes
Product Description

Expert Insights on the 2018 Pathology Coding Updates


Make sure you’re ready for nearly 40 new CPT® codes for labs next year – from microbiology and immunology to myriad new molecular codes, including Tier 1, genomic sequencing procedures (GSPs), and multianalyte assay with algorithmic analyses (MAAAs). That’s not all – CPT® 2018 introduces a new group of codes called proprietary laboratory analyses (PLAs), and new codes for human platelet antigen genotyping.  Zika and respiratory syncytial virus nucleic acid tests are also on their way. With 79 code changes for next year, clinical lab managers, pathologists, lab and pathology coders and billers, compliance officers and lab scientists need to understand these codes now.

Join coding veteran Ellen Garver, BS, BA, CPC, to learn how the new and revised 2018 CPT® and HCPCS Level II codes will impact your lab test reporting. The session includes an explanation of clinical applications for the tests, tips about how each code fits in with the existing choices, and the expected impact on revenue. You’ll also learn what documentation is necessary to support the various new codes to ensure you file clean claims and earn the pay your lab deserves.

Session Highlights

  • Insights on new, revised and deleted CPT® codes for 2018
    • 40 codes added
    • 17 codes revised
    • 14 codes deleted
  • New genomic sequencing procedure (GSP) code:
    • 81448 (Hereditary peripheral neuropathies panel [e.g., Charcot-Marie-Tooth, spastic paraplegia], genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes [e.g., BSCL2, GJB1, MFN2, MPZ, REEP1, SPAST, SPG11, and SPTLC1])
  • New multianalyte assay with algorithmic analysis (MAAA) codes, as follows:
    • Two codes (81520 and 81521) for breast cancer mRNA gene expression using formalin-fixed paraffin-embedded tissue; one test reports a recurrence risk score, one test reports an index related to risk of distant metastasis
    • Two codes (81541 and 81551) for prostate cancer using formalin-fixed paraffin-embedded tissue; one test reports a disease-specific mortality risk score, one test reports the likelihood of prostate cancer detection on repeat biopsy
  • New microbiology codes for RSV and Zika virus, as follows:
    • 87634 (Infectious agent detection by nucleic acid [DNA or RNA]; respiratory syncytial virus, amplified probe technique)
    • 87662 (Infectious agent detection by nucleic acid [DNA or RNA]; Zika virus, amplified probe technique)
  • New immunology codes in 2018, such as 86794, Zika virus, IgM
  • A new code that represents a refined method for allergen testing is 86008 (Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each)
  • Documentation and modifier use issues and other issues resulting in denials

Session Agenda

  • CPT®2018
    • Grasp molecular pathology tier 1/tier 2 shuffle
    • Update MAAA and GSP codes
    • Get to know microbiology and immunology changes
    • Greet PLA codes
  • ICD-10 2018
    • Master specific  relevant 2018 changes
    • Focus diagnosis responsibility
    • Review ICD-10  basics and common lab/pathology codes
  • CPT® 2018 drug testing

Who Should Attend

The ideas and strategies discussed in this webinar will be relevant to:

  • Coders
  • Providers
  • Billers
  • Managers
  • Collectors
  • Clinicians

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Ellen Garver - Pathology Coding Expert

Ellen Garver, BS, BA, CPC, regularly covers medical coding and compliance for pathology and laboratory as well as general surgery. The 15-year Coding Institute veteran has served as the editor of Pathology/Lab Coding Alert since its inception in 1999 and is also the current editor of General Surgery Coding Alert.


Ellen shares her pathology and laboratory coding know-how by presenting at various Coding Institute...   More Info
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