Coding

ACLA has worked for years to become a participant in the development and revision of CPT codes for clinical laboratory tests. The College of American Pathologists (CAP) has established the Pathology Coding Caucus (PCC). The PCC consists of eight organizations and representatives from the AMA, who meets periodically to review proposed revisions in clinical lab CPT codes. This group first convened in Washington on May 21, 2003, and will subsequently meet twice a year to review proposed new codes, or revisions of existing codes, and develop consensus recommendations for consideration by the AMA's CPT Editorial Panel. ACLA continues to work with the PCC and is currently reviewing proposals for new clinical lab codes to be included in the 2009 CPT Manual.

In May 2003, ACLA representatives suggested a new coding structure to accommodate the growing number of genetic tests – a "numeric-alpha" coding section, accompanied by a modifier. This proposal was subsequently reviewed by the PCC, proposed to the AMA CPT Editorial Board, and approved for publication in the 2005 CPT Coding Manual. ACLA is taking an active role in providing input on how revisions of genetic test codes can be made to reflect new technologies and to more accurately represent current practice.