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Client Communications April 2011 04-15-2011
Client Communications
Monthly Client Communications Memo contains new test codes, test requirement changes, discontinued test codes, reference range changes, CPT code changes, NCD/LCD changes and miscellaneous lab notes.
Vitamin B6 Methodology Change Memo 01-27-2011
Client Communications

American Esoteric Laboratories is pleased to announce that effective February 1, 2011 we will be offering a new testing methodology for Vitamin B6 (Pyridoxal Phosphate).

The new methodology, High Performance Liquid Chromatography (HPLC) which is more sensitive, has replaced the prior technology of RadioEnzymatic Assay.  Please be aware that with this new methodology of testing, specimen requirements and units of measure have changed, however turn-around-time remains the same. Specimens collected in EDTA yield a higher pyridoxal 5’-phosphate concentration; therefore EDTA collections will no longer be acceptable for this test.
Syphilis (RPR) NCD/LCD Memo 01-13-2011
Client Communications
In accordance with the Medicare Claims Processing Manual (Chapter 16, Section 120.2; see http://www.cms.hhs.gov/manuals/downloads/clm104c16.pdf on the Centers for Medicare & Medicaid Services (CMS) website) the laboratory edit module is updated quarterly as necessary to reflect ministerial coding updates and substantive changes to the NCDs developed through the NCD process. These changes are a result of coding analysis decisions developed under the procedures for maintenance of codes in the negotiated NCDs and biannual updates of the ICD-9-CM codes. PLEASE INSERT THIS DOCUMENT IN YOUR 2010 LCD MANUAL (blue or red book).  When using AEL manual ABN forms, please write this test on the form until you receive forms that include Syphilis Testing.
NCD Update October 2010 10-01-2010
Client Communications
Centers for Medicare & Medicaid Services (CMS) website) the laboratory edit module is updated quarterly as necessary to reflect ministerial coding updates and substantive changes to the NCDs developed through the NCD process. These changes are a result of coding analysis decisions developed under the procedures for maintenance of codes in the negotiated NCDs and biannual updates of the ICD-9-CM codes.
Vitamin D LCD Update 09-08-2010
Client Communications
In accordance with the Medicare Claims Processing Manual (Chapter 16, Section 120.2; on the Centers for Medicare & Medicaid Services (CMS) website) the laboratory edit module is updated quarterly as necessary to reflect ministerial coding updates and substantive changes to the NCDs developed through the NCD process. These changes are a result of coding analysis decisions developed under the procedures for maintenance of codes in the negotiated NCDs and bi-annual updates of the ICD-9-CM codes. PLEASE INSERT THIS DOCUMENT IN YOUR 2010 LCD MANUAL (blue book).  When using AEL manual ABN forms, please write this test on the form until you receive forms that include Vitamin D.
State Legislature Update on Anatomic Pathology Billing 07-01-2010
Client Communications
In the spirit of communication, we are providing a copy of the bill summary from the Tennessee Legislative web site http://www.legislature.state.tn.us. The document outlines the new restrictions for direct billing related to anatomic pathology services. Effective July 1st, 2010 the law will prohibit client billing for anatomic pathology. This law applies to patients in the State of Tennessee, regardless of where the test is performed. We will keep you informed during the implementation process of this new billing regulation
High Sensitivity CRP LCD Memo 05-05-2010
Client Communications
Please find attached the Local Coverage Decision (LCD) concerning the non-coverage of High Sensitivity CRP tests by Medicare effective 3/1/2010. Earlier this year Cahaba Medicare determined, with comments and research presented late last year, that Cardiac or High Sensitivity CRP testing will not be a covered service.There are currently no diagnosis codes for medical necessity that will be accepted by Cahaba to cover this test, CPT code 86141. An Advanced Beneficiary Notice (ABN) must be obtained for patient financial responsibility with each order for hsCRP, test code 4100.
Basic Toxicology Menu 08-02-2009
Brochures
Basic Toxicology Menu: Chain of Custody - Occupational, Department of Transportation (DOT), Pain Management Profiles,  and Clinical Drug Screens (non COC).
CRP Diagnostic Update 08-02-2009
Brochures
C-Reactive Protein (CRP) vs. High-Sensitivity CRP (hsCRP). AEL offers both the classic CRP test and the hsCRP. The classic CRP is used to monitor disease activity and progression of inflammatory conditions. The High-Sensitivity CRP assay may now be used as an independant risk marker for the identification of individuals at risk for future cardiovascular disease.
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