Oral Patologist Denials

Independent Laboratory receives denials for no prior authorization and/or out of network for CPT® 88305. If the surgeon or dentist send a specimen to confirm the absence /identification of disease and the patient is not aware at the time...


1. How would the pt know to get prior authorization?

2. who's responsible for choosing the in network lab the pt or referring provider

3. If the referring provider has prior authorization, would the service of the independent lab fall under their authorization?