Billing Beat

Rate Update for Pathology Services Codes

November 14, 2018

Effective retroactively for dates of service on or after January 1, 2018, the reimbursement rate for HCPCS code P9037 (platelets, pheresis, leukocytes reduced, irradiated, each unit) is updated.

Effective retroactively for dates of service on or after February 1, 2018, the reimbursement rate for HCPCS code P9073 (platelets, pheresis, pathogen-reduced, each unit) is established.

A list of current rates can be found on the Medi-Cal Rates page of the Medi-Cal website.

No action is required of providers. An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims.

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