Pathology and Laboratory CPT Codes: Billing Reference

Ensure clinical notes clearly support the level of service, procedure performed, and medical necessity for this CPT code.

Determine whether any modifiers are required for this code, particularly in bilateral, assistant surgeon, or multiple procedure scenarios.

Check payer fee schedules and coverage policies, as reimbursement and coverage rules for this code vary by payer.

Review NCCI edits to confirm this code is not bundled with other procedures billed on the same date of service.