Morrisville, North Carolina, USA 27560

Pathology Billing Services

Pathology Billing Services

Pathology is a branch of medical science that is focused on the study and diagnosis of disease. Clinical pathology involves the examination of surgically removed organs, tissues (biopsy samples), bodily fluids, and in some cases the whole body (autopsy). Doctors and scientists working in pathology are experts in illness and disease. They use their expertise to support every aspect of healthcare, from guiding doctors on the right way to treat common diseases, to using cutting-edge genetic technologies to treat patients with life-threatening conditions.

Pathologists play a critical role in research, advancing medicine and devising new treatments to fight viruses, infections and diseases like cancer. In the last 100 years, we’ve seen significant reductions in illnesses such as polio across the world, as well as major advances in blood transfusion, vaccination and treatment of inherited conditions. This is all thanks to the pioneering work of pathologists

Pathology Lab Billing Services & Coding Guidelines

When the coding staff of a pathology laboratory centre prepares the bill, they must ensure that correct coding is done for 100% successful reimbursement. It is only possible when they acquire the accurate pathology report and promptly after the service is given. It is also vital that the coding guidelines are followed based on the kind of pathology laboratory where the service is offered. Typically, a pathology lab can be categorized into the following:

service image
  • Icon Independent laboratory
  • Icon Physician office laboratory
  • Icon Clinical Laboratory
  • Icon Referring laboratory
  • Icon Reference Laboratory
  • Icon Billing laboratory
  • Icon Medicare-Approved laboratory

Therefore, the pathology coders have to understand the different needs of the payers, the documentation required, different types of payers, and the various procedural set. As mentioned earlier, the use of correct CPT codes is a must in pathology billing and coding in accordance with the following guidelines: