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Pathology coding and billing rules can be confusing and tedious to understand. Pathology services play a major role in the diagnosis and management of many common medical conditions. It is imperative that proper coding and billing practices be followed to ensure your organization receives appropriate reimbursement and maintains compliance with healthcare regulatory requirements. Pathology services from a billing and coding perspective fall into 4 main categories: Surgical Pathology, Cytopathology, Molecular Pathology, and Anatomic Pathology Consultations. In today’s webinar, we take a deeper dive into the current pathology coding and billing updates, discuss the proper application of the 2025 code set for pathology services, clinical documentation requirements for pathology services, and common pathology clinical documentation scenarios to code and bill for to gain real-world insights and context for the pathology billing and coding rules.
Webinar Objectives
By understanding and correctly coding for pathology services, providers can accurately represent the services they rendered, facilitate data collection and research, and support quality improvement and research efforts. Ongoing education and adherence to the regulatory requirements are crucial for maintaining accurate and compliant pathology billing processes.
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Toni Elhoms, CCS, CRC, CPC, AHIMA-Approved ICD10-CM/PCS Trainer is a nationally known speaker and recognized subject matter expert on medical coding, reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC. She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). With over a decade of industry experience, she has led and supported hospital systems, universities, physician practices, payers, government agencies, and other entities on coding, billing, and compliance initiatives. She is a frequent contributor to various…
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