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  4. CAP Offers More Resources Pathology Consultation Services Codes

To help our members understand the new CAP-developed pathology consultation service codes, the CAP published a new resource webpage for pathologists and their administrative staff as they implement them in 2022. The Centers for Medicare & Medicaid Services (CMS) finalized the CAP-developed pathology consultation services codes and values in the final 2022 Physician Fee Schedule. To help our members understand these new codes, the CAP developed a new resource web page for pathologists and their billing teams to navigate these new codes as they implement them in 2022 Medicare Physician Fee Schedule.

The Implementation Tips for CAP-Developed Pathology Consult Codes webpage includes an overview of the codes, the CPT descriptor, links to a webinar with case examples and scenarios of when to properly use these codes, frequently asked questions, and links to the American Medical Association’s (AMA) CPT resources.

The CAP worked with the AMA CPT Editorial Panel to establish pathology clinical consultation codes and develop new payment rates through the CAP’s role in the AMA/Specialty Society Relative Value Scale Update Committee (RUC). The CMS accepted most of the CAP-developed relative values for the pathology clinical consultation services.

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