2018 ICD-10 Diagnosis Code Set Loaded     

10/01/2017 NCD Edits Loaded     

2017-D October DME Fee Schedule     

2017-A PEN Fee Schedule-no changes for rest of 2017     

2017-D October ASC Fee Schedule Updated     

2018-A October APC Fee Schedule Updated     

October 2017 ASP Drug Pricing Updated     

Q1 2018 CCI Edits Loaded     

Q1 2018 MUE Edits Loaded     

LCD Database Current Through 01/16/2018     

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January 2018
October 2017

CodeMap® 2018 Medicare Reimbursement Manual for Lab and Pathology

2018 CodeMap® Reimbursement Manual for Lab and Pathology

Click here for sample page from printed manual.

The CodeMap® Reimbursement Manual for Lab and Pathology provides all the information required to submit Medicare claims and minimize errors along with the exact Medicare reimbursement for all clinical lab tests and pathology procedures for your state and locality.

The CodeMap® Reimbursement Manual consists of detailed tables of all lab and pathology procedures, listed in an easy-to-use, all-on-one-page format, which organizes similar codes in logical groups for easy comparison and selection of the appropriate codes. Each procedure is linked to the following:

CPT® Codes: All new, revised, and existing procedure codes for:

  • clinical laboratory procedures
  • pathology procedures
  • molecular pathology and genetic testing

Revenue Codes

ICD-10 Codes: Associated ICD-10 codes, based upon Medicare claims data and the 2015 General Equivalency Mapping (GEM) files.

Medicare Reimbursement: Accurate and up-to-date reimbursement amounts customized to your state, locality, and provider type.

Pricing Data: Average charge submitted to Medicare in your state and locality.

and more (see sample page)

In addition, the CodeMap® Reimbursement Manual describes how Medicare pays for lab and pathology services including explanations of coverage rules, coding requirements, medical necessity rules and how fees are determined.

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CodeMap® is a Registered Trademark of Wheaton Partners, LLC.