Technical vs. Professional Re: [Histonet] 88305 pod lab question

[Cheryl]

Hi Mark--
 
The technical and professional on this code are generally bundled.  For most insurances as well as M/M it can't be split it to be reimbursed (and it HAS to be billed by the party performing the professional is my understanding after just working on this issue a few months ago), Thus the code can be charged by the path if he or she is subcontracting the technical.  The technical portion is something ridiculously small, like $12/code.  Chances are the Pathologist is paying more than this for the tech service. 
 
This is done with frozens all the time where the pathologist is working for one company  (Path group is independent non-employee entity of a facility) and the tech who supports them work for the hospital and with surgical stuff where the pathology group is a contractor for the hospital that employs the tech...
 
Same animal, different zoo.
 
Cheryl
 
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