Billing Beat

Changed Billing Requirements for Selected Pathology Codes

September 24, 2013

Effective for claims with dates of service on or after October 1, 2013, procedure codes 88187, 88188, and 88189 will no longer require modifier 26 for reimbursement. The three (3) codes are all interpretations of the pathology, and by virtue of their narrative description, do not require the use of the 26 modifier. Claims for these codes submitted with the 26 modifier will deny. The reimbursement amount will not change.

Sign up for Billing Beat