Billing Beat

Billing for Molecular Pathology Codes

February 28, 2013

This message clarifies billing requirements for claims involving molecular pathology CPT codes in the 81200-81479 range.  Because these codes are manually priced, providers will need to submit an attachment (itemized invoice of services performed) with any claims that include molecular pathology procedures. Claims involving molecular pathology procedure codes in the 81200-81479 range that are submitted without an attachment will be automatically denied.

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