Header: I spot-checked 9 PLA codes that include whole slide imaging (sometimes naming computer interpretation) and only 1 of 9 has PAMA repricing data. (2 were ADLTs).
###
This is a quick-and-dirty blog. I was wondering how whole-slide-imaging slides fared in the PAMA pricing process this fall. I had a list of about 9 codes I'd tracked as WSI codes. (In some cases, it's hard to tell if the biomarker slides are newly produced for the coded service or were pre-existing (88342).
Two of them are ADLT codes (Castle 0108U and Prelude 0295U), which don't show up in PAMA data at all.
Of the other codes, 0376U dropped from $706 today to $692 in PAMA data.
That leaves 6 of 9 codes. None of the remaining tests had PAMA data, so CMS simply leaves the PAMA median price blank. (Such codes may get crosswalked or gapfilled, TBD).
Click to enlarge.
I gave the above table to Chat GPT and asked it to fill in the empty rows with test names. Click to enlarge.
