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Much Uncertainty About Pay for Molecular Codes

Medicare contractors posting prices that are 40% to 50% less than what labs received in 2012

CEO SUMMARY: Having gone unpaid since January 1 for the 114 new molecular CPT codes, many clinical labs and pathology groups have stopped running these tests or laid off staff. Some are considering closing their doors. Evidence indicates that certain Medicare contractors are deciding that some molecular tests are not medically necessary. Medicare officials launched …

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