2016 CPT Code Changes for Pathology/Laboratory

All individuals should understand the various code symbols that AMA uses to denote new codes, revised codes, deleted codes, resequenced codes, etc. You should refer to the introduction section of your 2016 CPT codebook, under the Code Symbols section for definitions and explanations of the various symbols.

Each year, the AMA publishes its new, revised and deleted CPT codes for that calendar year. This document will provide the necessary information for the reader to ensure the proper codes are assigned reflecting the 2016 updates. The document is not intended to be an extensive coding course on the new, revised, and deleted codes. Please refer to your 2016 CPT code book for further details.

AMA made several changes in the Pathology and Laboratory 80000 series code section of the CPT code set. There were 28 new codes added, 11 deleted codes and 50 revised codes.

In molecular diagnostics, the scope of the molecular pathology services codes have increased yet again for 2016, with the addition of eight new Tier 1 codes and seven new genomic sequencing procedures (this section is commonly referred to as Next Gen Sequencing in the laboratory) as well as ten multianalyte assay with algorithmic analyses (MAAAs), which are procedures that utilize multiple results derived from assays of various types, including molecular pathology, FISH and non-nucleic acid based assays.

(PDF, 172 KB).

Author - Male

About the author

Rick Oliver, CPCO, CPC, MT(ASCP) is Compliance Director in Laboratory and Pathology of web2pro Business Performance Services.