[Histonet] Re: Histonet Digest, Vol 83, Issue 20

[Weems, Joyce]

CMS/NCCI Update Dated October 1, 2009 

8. The unit of service for special stains (CPT codes 88312-88313) and
immunohistochemistry (CPT codes 88342, 88360, 88361) is each stain. If
it is medically reasonable and necessary to perform the same stain on
more than one specimen or more than one block of tissue from the same
specimen, additional units of service may be reported for the
additional specimen(s) or block(s). Physicians should not report more
than one unit of service for a stain performed on a single tissue
block. For example it is common practice to cut multiple levels from a
tissue block and stain each level with the same stain. The multiple
levels from the same block of tissue stained with the same stain
should not be reported as additional units of service. Only one unit
of service should be reported for the stain on multiple levels from
the single tissue block. Additionally, controls performed with special
stains should not be reported as separate units of service for the
stain. 


-----Original Message-----
From: Mike Pence [mailto:mpence <@t> grhs.net] 
Sent: Thursday, October 14, 2010 11:31
To: Weems, Joyce; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Re: Histonet Digest, Vol 83, Issue 20

Can you site your source, please.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Thursday, October 14, 2010 10:25 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Re: Histonet Digest, Vol 83, Issue 20


 

The change is that you can bill per block now and not per specimen. This is for immunos and special stains. It does make a huge difference! 

Best, 

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax 



-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Chris Evanish
Sent: Thursday, October 14, 2010 11:10
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Re: Histonet Digest, Vol 83, Issue 20

Has anyone heard of a cpt coding change that allows us to bill 88342 per slide run instead of per antibody? One of our Pathologist was at a conference and was told that we could do that. It makes a big difference with running cytokeratins on multiple blocks and levels of sentinel nodes.

  Thanks,
Chris Evanish
Montgomery Hospital
Norristown PA

Chris D. Evanish
Histology Supervisor
Montgomery Hospital
610-270-2379 
 
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