Medicare Payment for Pathology Services, 2015

MEDICARE PAYMENT FOR PATHOLOGY SERVICES, 2015 (PARTIAL LISTING OF PATHOLOGY CODES) *Please note that there is not a direct crosswalk between payment for in situ hybridization and immunohistochemisty services as the codes and reporting have changed for 2015. The College of American Pathologists worked for these changes in 2015 to address payment and reporting limitations sought from the Centers for Medicare and Medicaid Services as both code families were targeted by the agency as overvalued. For example, in 2014 CMS payment policies reduced the reporting of CPT code 88368 to one unit of service. In 2015 one unit of the new multiplex code (88377) would be reported. HCPCS DESCRIPTION1 2014 TOTAL PAYMENT2 2015 TOTAL PAYMENT3 TOTAL PAYMENT PERCENT CHANGE 80500 Lab pathology consultation $21.14 $23.27 10.1% 80500 Lab pathology consultation $21.14 $23.27 10.1% 80502 Lab pathology consultation $68.42 $73.39 7.3% 88120 Cytp urine 3-5 probes ea spec $618.66 $625.09 1.0% 88121 Cytp urine 3-5 probes cmptr $535.19 $555.64 3.8% 88125 Forensic cytopathology $22.21 $26.49 19.3% 88184 Flowcytometry/tc 1 marker $87.77 $93.80 6.9% 88185 Flowcytometry/tc add-on $53.73 $56.92 5.9% 88187 Flowcytometry/read 2-8 $71.65 $72.32 0.9% 88188 Flowcytometry/read 9-15 $90.27 $91.65 1.5% 88189 Flowcytometry/read 16 or more $110.69 $113.13 2.2% 88291 Cyto/molecular […]