him2255cgaga

.docx

School

St. Johns River State College *

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Course

2255C

Subject

Chemistry

Date

Dec 6, 2023

Type

docx

Pages

Uploaded by ProfessorRabbit3417

Him2255c PROMPT: Minimum of 150-words. Your post must incorporate college-level writing in paragraph form. Simply listing the answers (i.e., in bullet form, etc.) will result in no points awarded for the initial post. You are a new graduate and recently landed your first coding position. You will be employed by a pathologist to code for their professional services. You vaguely remember learning laboratory and pathology coding in college but you aren't sure that you recall enough to confidently perform these coding duties. Identify at least three things that you might do to help you prepare for assigning CPT codes in this position. ANSWER: Discussion Post 6: Laboratory and Pathology Coding To prepare for a role in pathology (and/ or laboratory services) coding, a good first step would be to re-familiarize oneself with the difference between quantitative and qualitative studies. Qualitative testing means that the study is to detect the presence of a particular analyte or condition, whereas quantitative testing usually occurs second, and means that a specific amount of the analyte is being identified with a given sample. This is important to review, as these terms show up frequently when coding for pathology and are coded distinctly from one another. Also of importance in pathology coding is recalling the difference between the physician performing a complete procedure versus only a component of it. An example of the physician performing the complete procedure would be that same physician ordering the test, performing the test, handling the specimen, and interpreting the results (Smith, 2021, p. 215). While some offices may be set up to handle the procedure from start to finish in this manner, other physicians might obtain a sample and then send it to a third-party pathologist/ laboratory for testing and analyzing; this would be coded differently than the previously mentioned complete procedure, and thus is an important distinction, as in this case, one code would be used by the physician who obtained the sample, and another code would be assigned by the pathologist for the interpretation of that same sample (Centers for Medicare & Medicaid Services, 2019). Lastly, as with any section of coding, it’s helpful to review the possible modifiers for pathology, such as those for mandated services (such as when an insurer or employer requires the testing/ procedure), repeat clinical diagnostic laboratory test, etc. Many of these codes would be familiar to a coder ever prior to any specific pathology experience, as they are repeated throughout various areas of coding, such as 59 (distinct procedural service) or 22 (increased procedural services). Prior to starting a new coding role, I would certainly review all of my course materials, notes,

and resources. As an aside to this, I've also found that the AAPC (The American Academy of Professional Coders) website has forums open to coders to seek input from others in the field, and I've also found this to be a very valuable resource! References: Guidance on Coding and Billing Date of Service on Professional Claims . (2019, February 1). Centers for Medicare & Medicaid Services. Retrieved September 27, 2023, from https://www.cms.gov/Outreach-and- Education/Medicare-Learning-Network- MLN/MLNMattersArticles/Downloads/SE17023.pdf

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