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Billing for Certain Anatomic Pathology Services1 - North

Billing for Certain Anatomic Pathology Services1 - North 2025

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The document is a consultation request form from Tulane University's Department of Pathology and Laboratory Medicine, specifically for anatomic pathology services. It includes sections for patient information, insurance details, specimen collection data, clinical history, and specific testing requests. The form requires completion of various fields to ensure proper billing and processing of pathology consultations.

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What is the CPT code for pathology?

Pathology and Laboratory Procedures CPT Code range 80047- 89398. The Current Procedural Terminology (CPT) code range for Pathology and Laboratory Procedures 80047-89398 is a medical code set maintained by the American Medical Association.

What is the CPT code for anatomic pathology?

Anatomic Pathology Procedures CPT Code range 88000- 88099.

What is anatomic pathology services?

Anatomical pathology is the study of organs and tissues to determine the causes and effects of particular diseases. Click on the links below to learn more about this topic. Biopsy. The Biopsy Report. Surgical Pathology.

How are pathology services billed?

Clinical pathology billing in laboratories To bill for clinical pathology services in a laboratory, pathologists must use the appropriate CPT codes based on the specific test performed. If pathologists are billing only for the professional component (physician interpretation), they must include the modifier 26.

What is the pathology fee?

Across all facilties, the average cash price for Pathology test is $356. However, the price you pay varies significantly based on your location and any insurance coverage.

How does pathology billing work?

For pathology practitioners, billing for a CPT code can be divided into the professional component (PC), which covers a physicians professional service, and the technical component (TC), which covers laboratory work. When the professional component is added the technical component, the sum is known as the global fee.

What is CPT code 88305 for pathology?

CPT Code 88305: Level IV-Surgical pathology, gross and microscopic examination. These examinations would be ordered as a gross and microscopic pathology exam or a gross and microscopic tissue exam.

How do pathologists get paid?

Despite variations in practice scenarios and payor relationships, for pathologists there are essentially three ways to earn revenue: Providing one on one professional services to individual patients. Providing laboratory oversight services. Providing other contracted services for, and on behalf of clients.

Billing for Certain Anatomic Pathology Services1 - North 2025

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