Coding and Payment Guide for Laboratory Services is your one-stop coding,
billing, and documentation guide to submitting claims with greater precision
and efficiency. This guide has the latest laboratory and pathology-specific,
2018 CPT® and HCPCS procedure, ICD-10-CM and HCPCS Level II code sets along
with Medicare payer information, CCI edits, helpful code descriptions, and
Features and Benefits
— Code icons. Quickly identify new, revised and add-on procedure codes related
to lab and pathology.
— CPT® Assistant references. Identifies that an article or discussion of the
CPT code has been in the American Medical Association’s CPT Assistant
newsletter. Use the citation to locate the correct volume.
Edge — HCPCS procedure codes. Only Optum360 offers HCPCS procedure codes
specific to your specialty with the same information as we provide for CPT
find information. All the information you need is provided, including CPT full
code descriptions, lay descriptions, coding tips, procedure code-specific
documentation and reimbursement tips, CPT® Assistant references, and Medicare
confusion with easy-to-understand descriptions. Includes clear lay explanations
of procedures represented by CPT® and HCPCS procedure codes.
claim denials and stay up-to-date with Medicare payer information. Review
Medicare Pub. 100 references containing information linked to HCPCS Level II
and CPT® codes tailored to anesthesia, to prepare cleaner claims before
determine fees for your practice and reinforce consistency in the charges.
Relative value units including the practice, work, and malpractice components
with total RVUs for non-facility and facility for procedures and Medicare
Clinical Laboratory Fee Schedule references are included.
edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with
associated CCI edits in a special section and quarterly updates available
is a registered trademark of the American Medical Association.