[Histonet] er/pr charging

[Luck, Greg D.]

Terri,

Our pathologists interpretation of ER/PR IHC is stated as either "positive
or negative".  This in our estimation does not meet the standard of either
quantitative or semi-quantitative (which is specified in the CPT code 88361
application description.  We therefore are continuing to code these as
88342's.  I think that if the interpretation is stated as a raw "numerical"
value (eg. 45% or 70% rather than a less empirical statement of 1+ or 3+)
there is good justification to use the new 88361 code.

Greg Luck
Anatomic Pathology Supervisor
Deaconess Medical Center
800 W. 5th Ave
Spokane, WA 99204
509.473.7077
luckg <@t> empirehealth.org


-----Original Message-----
From: Hallada, Teri [mailto:thallada <@t> noch.org]
Sent: Thursday, April 01, 2004 4:25 AM
To: Kelly Simon; Joyce Cline
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] er/pr charging


I believe you must "quantitative" the results in some format. Our
pathologists here don't quantitative ER/PR only Her2, so we don't use 88361
for ER/PR only Her2. Is this correct?
Teri Hallada BS MT CT (ASCP)
thallada <@t> noch.org


> -----Original Message-----
> From:	Kelly Simon [SMTP:kb2drkprk <@t> yahoo.com]
> Sent:	Thursday, April 01, 2004 01:06
> To:	Joyce Cline
> Cc:	histonet <@t> lists.utsouthwestern.edu
> Subject:	Re: [Histonet] er/pr charging
> 
> According to a story by Lisa Miller in the January
> 2004 CAP Today, there is a new code for ER/PR and
> HER2/neu:
> 
> "CPT 2004 separates traditional tumor morphometric
> analysis from semiquantitative immunohistochemistry.
> New code 88361 was created to report quantitative or
> semiquantitative immunohistochemistry for such
> analyses as hormone receptor and HER2/neu testing. The
> technical services of 88342 are incorporated into the
> new code."
> 
>
http://www.cap.org/apps/docs/cap_today/feature_stories/0104InWithNewCPT2004.
html
> 
> Kelly Simon, HTL (ASCP)
> Dynacare Laboratories
> Seattle, WA 
> 
> --- Joyce Cline <jcline <@t> wchsys.org> wrote:
> > Does everyone use the CPT code 88342 for charging
> > the er/pr immuno's. Or is there another code that is
> > used for the technical component?
> > 
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