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CodeMap® 10/20/2023: Some MACs Changing Coding on STI Testing in Conflict with AMA Guidelines

CodeMap® Briefing: 10/20/2023

The National Correct Coding Initiative (NCCI) Policy Manual and the American Medical Association (AMA) CPT® Codebook have had conflicting language regarding proper coding practices for over two years. Until this issue is addressed, providers need to be aware of the potential reimbursement issues. This week, our friends at Laboratory Economics discuss.


Some MACs Changing Coding on STI Testing in Conflict with AMA Guidelines

Some Medicare Administrative Contractors (MACs) appear to be changing CPT codes that clinical laboratories submit for infectious disease testing so that the labs are reimbursed for only one code instead of for multiple codes. According to William De....

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CPT copyright 2023 American Medical Association. All rights reserved.

* The responsibility for the content of any "National Correct Coding Policy" included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse, or interpretation of information contained in this product.



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