AMA
The agency would provide reimbursement for a new set of six codes at $600 per test — a price much lower than expected.
The company previously launched its Concert Coding Engine to help standardize how genetic tests are coded and how labs can bill for them.
AMA Quickly Issuing New Proprietary Analyses Codes, but Will They Improve MDx Reimbursement?
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Since last year the AMA has issued 23 PLA codes for firms that want to better track use of their tests, but the effect of the codes on improving reimbursement remains to be seen.
NGS Test Coding Changes Slated for Discussion at 2017 CPT Editorial Panel Meeting
The panel's decisions could change the codes diagnostic companies use to bill payors for these tests, which could affect revenue.
Amid PAMA Implementation, Stakeholders Contemplate Coding to Facilitate Market-Based MDx Pricing
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The coding requirements will be a particularly complicated aspect of implementing the new law which aims to move diagnostic pricing to a market-based system.