Coding and Payment

The College of American Pathologists (CAP) offers resources to assist pathology practices facilitate appropriate medical billing and coding efforts.

Billing and Coding Basics - How Pathology Practices Get Paid

Learn the various methods of payment as well as where to find billing and coding resources in this short video Lock .

Payment methods to be reviewed include:

  • Coding
  • Fee for service (FFS)
  • Technical Component (TC)
  • Professional Component (PC)
  • Global Method
  • Part A

Analyzing and Interpreting Billing Reports

Maximizing your revenue through a regular and routine review and analysis of your billing performance is paramount to your practice’s financial wellbeing. A proper analysis and interpretation of your billing reports will likely reveal a great deal of diagnostic information concerning the health of your practice.

The CAP’s Analysis and Interpretation of Billing Reports Lock guide is designed to provide you with a framework to assess the vital signs of your practice and identify underperforming areas so you can create action plans to address the issues impacting the financial success of your practice.

Our Analysis and Interpretation of Billing Reports Quick Reference Guide Lock is a useful tool to have on hand for referencing benchmarks and other key performance indicator targets you should be aware of as you review your monthly billing reports.

Alternative Payment Mechanism Resources

This unique glossary of alternative payment model terminology Lock provides definitions and explanations for over 400 words, names, and abbreviations.

Centers for Medicare and Medicaid Services (CMS) Resources

Current Procedural Terminology (CPT) Codes

Direct Billing

Access the direct billing resources and find a list of states with direct billing, anti-markup, or disclosure laws.


The Department of Health and Human Services' Office for Civil Rights posted the HITECH Act's HIPAA modification final rule (PDF, 436 KB) to the Federal Register. AHIMA staff experts have released a full analysis of the lengthy rule.

International Classification of Diseases (ICD)

ICD-10-CM Resources

ICD-10-CM will be required for physician and clinical laboratory claims effective with October 1, 2015 dates of service.

Basic training for pathologists

The following resources will introduce you to ICD-10 and provide examples by specimen type of how to use free online resources

Pathologist specific ICD-10 Resource

General ICD-10-CM Resources

General Resources

Select CMS Resources

ICD-10-CM Coding Books

  • Detailed Instruction for Appropriate ICD-10-CM Coding* ISBN-10:1622540654
  • Advanced Anatomy and Physiology for ICD-10-CM/PCS* ISBN-10: 1622020103
  • Principles of ICD-10-CM Coding 3rd Edition* ISBN-10: 1603599487
  • Principles of ICD-10-CM Coding Workbook 3rd Edition* ISBN-10: 1603599495

National Provider Identifier (NPI)

Apply, maintain, or lookup National Provider Identifier for individuals and organizations NPI numbers.

Patient-Friendly Documents

Use the following files to connect your practice with your patients.

Business Terms for Pathologists Glossary

Can you explain EBITA or an Accounts Receivable Aging Analysis? Our new Business Terms for Pathologists Glossary will help you learn the definitions you need to know.

Download the Glossary Lock Right Arrow