Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory and pathology code claim submissions...
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Other codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the codes listed in...
2025 influenza, pneumococcal, and hepatitis B vaccine reimbursement
Read this article for information on vaccine fees for calendar year 2025.
Medicare deductible and coinsurance
View annual deductibles and coinsurance for beneficiaries covered through the Medicare fee-for-service program.
Potential assignment violations by clinical laboratories
Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment...
2026 Part B portable x-ray reimbursement rates - response to comments
This article contains the response to comments for the 2026 preliminary Part B portable x-ray transportation rates and a link to...
Billing instructions for implanted prosthetic devices with HCPCS code C9899: Reason code 32354
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
Please review the revised blood product codes list.
Avoiding MSP claim rejects
Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP...
Process for CPT category III T codes
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.