ICD-10 – Implementation Update

June 23, 2015

The Centers for Medicare and Medicaid Services (CMS) mandated conversion from the International Classification of Diseases 9th Revision (ICD-9) to the International Classification of Diseases 10th Revision (ICD-10) will go into effect October 1, 2015. Physicians, insurance providers, EHR/EMR vendors, and laboratories are just some of those preparing to implement the new code set. PathGroup is no exception. With the deadline quickly approaching, we are working diligently to facilitate a smooth transition for our clients.

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PathGroup Launches New SmartGenomics™ Cancer-Specific Testing

Provides Newly Diagnosed Patients Genomic Baseline

BRENTWOOD, TENN. – (June 18, 2015) PathGroup, one of the largest private providers of pathology services in the United States, announced today the launch of new cancer-specific SmartGenomics™ testing, expanding their genomic profiling menu for community-based oncologists. The addition of five diagnostic panels targeting cancers of lung, colon, brain, thyroid and melanoma/GIST represent testing options for newly diagnosed patients, the result of which will enable physicians to make more precise therapeutic recommendations and clinical management decisions.

PathGroup SmartGenomics uses multiple technologies to provide a complete genomic picture of a patient’s individual cancer. Each panel offers cost-effective, tailored genomic testing for its respective disease utilizing guideline recommendations from the National Comprehensive Cancer Network (NCCN). Standard of care diagnostic features include expanded RAS testing in colorectal cancer, biomarkers EGFR, ALK, ROS1, RET, MET in lung cancer, and BRAF, KIT mutation testing in melanoma.

“Genes that are relevant at diagnosis of lung cancer are not the same as those of melanoma or colon adenocarcinoma,” said Pranil K. Chandra, DO, Medical Director of Molecular Pathology Services at PathGroup. “PathGroup has profiled thousands of patients and we have found that the addition of diagnostic testing at biopsy via SmartGenomics and gold-standard technologies are true advances to our customers and ultimately our patients. As evidenced by the plethora of new and upcoming genomically-driven clinical trials, integrating genomic profiling into patient management and therapy selection is the future of clinical oncology practice and cancer pharmacotherapeutic development.”

Results from PathGroup’s cancer-specific panels provide treating clinicians with actionable information, linking the findings to available clinical trial options, therapies or both. Powered by the SmartGenomics platform, PathGroup offers comprehensive disease interrogation through all stages of cancer. The personalized medicine menu includes 62 and 85 gene panels for relapsed or refractory solid tumors and hematomalignancies, whole genome array analysis of greater than 22,000 genes, and disease-specific sequencing at initial diagnosis. With a best-in-class precision oncology suite, PathGroup provides a total lab solution for community-based oncologists from clinical to genomic.

Members of the oncology community have expressed an increased need for advanced testing earlier in the diagnostic-therapeutic continuum. Tennessee Oncology, one of the largest physician-owned oncology practices in the country, Chief Executive Officer Jeffrey F. Patton, MD, added, “When considering the likelihood of recurrence in many cancers, having a baseline of the most commonly altered pathways for each tumor allows us to determine what changes have occurred since initial diagnosis. Utilizing advanced genomic testing early in the cancer care continuum gives Tennessee Oncology physicians the ability to tailor treatments for each patient’s specific cancer.”

About PathGroup

Founded in 1965, PathGroup has evolved into a premier provider of anatomic, clinical and molecular pathology services.   Privately held and physician centric, PathGroup works seamlessly with customers to provide superior diagnostic services – a vital link in the cycle of patient relationships.  PathGroup uses the latest in proprietary and industry standard technology to deliver fast, accurate results.  The company provides clients with the highest quality of services available, consistently exceeding the expectations of physicians, employees, payers and most importantly, patients. One Lab; Total Service.  For more information, visit www.pathgroup.com

Prothrombin Time Critical Value – Test Update

This change will take effect June 8, 2015

Overview and Clinical Utility:

Effective June 8, 2015 PathGroup Labs will no longer report critical values for Prothrombin Time (PT) due to international normalized ratio (INR) values minimizing the variation between reagents. This will also improve quality of laboratory monitoring of oral anticoagulant therapy.

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Test Update – Serum Iodine

This change will take effect April 27, 2015

Overview and Clinical Utility:

Effective April 27, 2015, PathGroup will implement updated specimen collection requirements for Serum Iodine testing. As a result, plasma is no longer an acceptable specimen of choice for Serum Iodine testing.

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Vitamin D Nutritional Status – Test Utility

Overview and Clinical Utility:

PathGroup’s 25-Hydroxy Vitamin D assay, test code VD25H, measures both vitamin D2 and D3 forms of 25-hydroxy Vitamin D, which is the major compound produced in the liver. To properly assess and measure vitamin D status, 25-hydroxy Vitamin D is the test of choice.

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Hematology Testing Methodology – Test Update

This change will take effect March 26, 2015

Overview and Clinical Utility:

Effective March 26, 2015, PathGroup will update current hematology testing methodology to provide enumeration of immature granulocytes (IG) with all standard differential counts. All metamyelocytes, myelocytes, and promyelocytes will be counted and reported cumulatively as part of the automated differential resulting system (6-part automated differential).

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Hemoglobin A1C Reference Ranges – Test Update

This change will take effect March 16, 2015

Overview and Clinical Utility:

Effective March 16, 2015, PathGroup will deploy updated Hemoglobin A1C reference ranges to correspond with current American Diabetes Association (ADA) guideline recommendations.

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Respiratory and Food Allergy Testing – Test Update

This change will take effect March 16, 2015

Overview and Clinical Utility

Effective March 16 2015, PathGroup will implement several changes to ImmunoCAP respiratory and food allergen panel testing. These changes reflect current industry demand and testing recommendations. Updates include testing for mouse urine allergen, revisions to all Regional Respiratory Profiles and additions to the Food Allergen Panel. Please refer to PathGroup’s Directory of Services (DOS) for individual test codes, new profiles and a full menu of respiratory and food allergen testing.

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Group B Strep Detection by PCR – Test Update

This change will take effect March 16, 2015

Overview and Clinical Utility

Effective March 16, 2015, PathGroup will change Group B Streptococcus (GBS) detection by routine culture to the FDA-approved BD MAX™ GBS assay, test code MGBS. The BD MAX™ GBS assay provides excellent clinical sensitivity and specificity, 95% and 96.7% respectively. PCR assays greatly increase sensitivity compared to the standard culture method for GBS screening.

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Urine Drug Screening – Test Update

This change will take effect March 2, 2015

Overview and Clinical Utility:

Effective March 2, 2015, PathGroup will begin screening for Oxycodone within the Drugs of Abuse 10 Panel Screen (UDSL) and Urine Drug Screen with Reflex to Confirmation (UDSC). As currently allowed, each component of the urine drug screen may be ordered as a standalone test.

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