M/W 0097 Where items under Pathology and Anatomical Pathology fall within the province of other Specialists or General Practitioners, then the fee is to be charged at two thirds of the pathologist's fee.
M/W 0099 For tests performed on a stat basis, an additional premium of 50% of the fee for the particular pathology service shall apply, with the following provisos:
Ø Stat test requesting may only be done by the referring practitioner and not by the pathologist.
Ø Specimens must be collected on a stat basis where applicable.
Ø Test must be performed on a stat basis.
Ø Documentation (or a copy thereof) relating to the request of the referring practitioner must be retained. This modifier will only apply during normal working hours and will never be used in combination with item 4547.
Ø This modifier will only apply during normal working hours and will never be used in conjunction with item 4547.
Note: For fees for Histology and Cytology refer to items 4561 to 4593 under section 22: Anatomical Pathology.