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Effective January 1, 2013, Aetna will require practices offering in-office surgical pathology testing to be certified with Clinical Laboratory Improvement Amendments (CLIA) and one of the following accrediting entities under CLIA:

• College of American Pathologists (CAP)
• American Osteopathic Association/HFAP
• American Society for Histocompatibility and Immunogenetics
• The Joint Commission

This requirement applies to the professional component of services billed in the CPT-4 code range 88300-88314 and 88342.  Dermatopathologists and dermatologists are exempt and do not require accreditation.

Proof of accreditation should be submitted to NationalAncillaryContracting@aetna.com by January 1, 2013 in order to continue receiving payment for these services.  This is a change from a letter Aetna originally sent on March 23, 2012 that indicated CLIA and CAP certification would be required by August 1, 2012.

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