Coding Guidelines For Pathology Lab Billing Services
                     Coding Guidelines For Pathology Lab 
Billing Services
Pathology laboratories are vital in any medical practice as a unique 
medical field establishment. However, this kind of establishment can 
vary in iterations and size and, at times, can be part of the hospital. Most 
laboratories are established near hospitals or medical practice facilities, 
given the work it does. While hospital labs generate only 3 to 5 percent 
of hospital revenue, their findings make 70 to 80 percent of a 
patient’s electronic health record (EHR). Furthermore, CDC estimated 
that almost 70 percent of doctors’ medical decisions are based on lab 
test results. This means careful attention needs to be given to improving 
the revenue process of a pathology lab so that it can invest in the latest 
testing technology, other lab resources, and staffing so the patient 
outcome is better. But all these steps begin with proper coding for the 
pathology tests done, correct Pathology lab billing, on-time claim 
submission, and minimizing the denials so that patient outcome is better.
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Coding Guidelines For Pathology Lab 
Billing Services
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Coding Guidelines For Pathology Lab 
Billing Services
Pathology Lab Billing Services & Coding Guidelines
Typically, a pathology lab can be categorized into the following:
• Independent laboratory 
• Physician office laboratory 
• Clinical Laboratory 
• Referring laboratory 
• Reference Laboratory 
• Billing laboratory 
• 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: 
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Coding Guidelines For Pathology Lab 
Billing Services
New CPT codes have been added:
80081: Obstetric panel examination, including testing for HIV
81170, 81162, 81218, 81219, 81272, 81273, 81276, 81311, 
81314: Genome, gene-specific, and molecular pathology 
procedures.
81228, 81229, 81405, 81406: Analyses of Cytogenomic 
microarray
81280, 81282: Analyses of long QT syndrome gene
81412, 81432, 81433, 81434, 81437, 81438, 81442: Different 
Molecular Multianalyte Assays and procedures for genomic 
sequencing
81490, 81493, 81525, 81528, 81535, +81536, 81538, 81540, 
81545, 81595, 0009M, 0010M:  MAAAs that have Multianalyte 
Assays
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Coding Guidelines For Pathology Lab 
Billing Services
Revised CPT Codes
81210, 81275, 81355, 81401, 81402, 81403, 81404, 81405, 
81406: Molecular Pathology
81435, 81436, 81445, 81450, 81455: Different Molecular 
Multianalyte Assays and Procedures for Genomic Sequencing
82542, 83789: Chemistry
86708, 86709: Immunology
87301, 87305, 87320, 87324, 87327, 87328, 87329, 87332, 
87335, 87336, 87337, 87338, 87339, 87340, 87341, 87350, 
87380, 87385, 87389, 87390, 87391, 87400, 87420, 87425, 
87427, 87430, 87449, 87450, 87451, 87502, +87503: 
Microbiology
88346: Surgical Pathology
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How Does Adhering to the Coding 
Guidelines Help?
Are you wondering which pathology coding and billing company 
adheres to the pathology laboratory billing and coding 
guidelines?  It is the 24/7 Medical Billing Services. They have a 
team of pathology laboratory billing and coding experts 
who know the latest codes and modifiers and the constant 
updates and changes made in the rules and regulations of 
coding created by the governing bodies, Medicare, Medicaid, 
and insurance companies.
Also, 24/7 Medical Billing Services uses the latest pathology lab 
billing software to accurately process billing and coding. It 
allows the entire process to be done quicker, which means the 
payment process is faster with 100% reimbursements.
It is time to understand pathology labs coding and billing 
process and increase the service’s revenue in no time with the 
help of an outsourcing pathology coding and billing partner like 
24/7 Medical Billing Services.
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About Us
We are a medical billing company that offers ‘
24/7 Medical Billing Services’ and support physicians, hospitals, 
medical institutions and group practices with our end to end medical 
billing solutions. We help you earn more revenue with our quick and 
affordable services. Our customized Revenue Cycle Management 
(RCM) solutions allow physicians to attract additional revenue and 
reduce administrative burden or losses.
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Contact Us
Media Contact:
24/7 Medical Billing Services
Georgia
3001 Greenfield Drive, Marietta GA 30068
Ohio
28405 Osborn Road, Cleveland, OH 44140
Texas
2028 E Ben White Blvd, #240-1030 Austin TX, 78741
Delaware
16192 Coastal Highway, Lewes, Delaware 19958, United States
Phone no / Fax :  +1 888-502-0537
                          Email us: [email protected]
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