American Health Information Management Association (AHIMA) Certification Practice Exam

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What should coders do when reporting lab tests that overlap panel codes?

Always report individual tests regardless of panel coding.
Only report tests not included in any panel.
Report all tests using the panel code.
Report the panel that incorporates the greatest number of tests.

The correct answer is: Report the panel that incorporates the greatest number of tests.

When reporting lab tests that overlap panel codes, it's essential for coders to understand the principles of coding panels versus individual tests. Reporting the panel that incorporates the greatest number of tests is the best approach because it maximizes the reimbursement rate and ensures compliance with coding guidelines. Panels are designed to represent a collection of tests that are commonly ordered together and provide a comprehensive view of a patient’s condition. When a panel code is applicable and includes multiple tests that are also available as separate codes, it is more efficient to use the panel code that covers the most tests, as this reflects the full scope of the testing being performed. By opting for the panel, coders align their practice with the coding conventions, which often encourage the use of panel codes to streamline the reporting of related tests. Moreover, using the appropriate panel code prevents potential billing issues or denials that can arise from attempting to code individual tests that overlap with panel codes. This method also helps maintain clarity and consistency in medical records and billing practices.