[Histonet] IHC Billing CPT question.

Joe Nocito JNocito <@t> Pathreflab.com
Thu May 5 13:11:26 CDT 2005


Shawn,
some one there should have a current CPT book. Look under the immuno code,
there it will tell you that you may charge for each antibody. If there are
two specimens from two distinct sites, we charge twice.

Joe Nocito, BS, HT(ASCP) QIHC
Histology Manager
Pathology Reference Lab
San Antonio, TX

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu]On Behalf Of Shawn
Salesky
Sent: Thursday, May 05, 2005 12:38 PM
To: 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] IHC Billing CPT question.


Hi All,

>From the discussion a few days ago I had some questions concerning IHC
Billing.

Patient: B. Smith Has a Left and Right Breast Core Bx submitted as parts A
and B.   Both of which have ER, PR and Her2 done on them.  The Her2 is
negative so there is no reflex to F.I.S.H.

>From the discussion on Histo net I gather that the majority of facilities
would be charging for Quantitative/Semi-quantitative IHC x 6.

Is there any literature or references that anyone is using to determine that
it is legal to charge for 6 instances?

At my current facility that same scenario would only be billed as 3
instances.

Any help would be appreciated.




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