[Histonet] charging and CPT questions

[Zajic Kari]

Hi Jim. I do not do muscle or nerve at my facility but we send to the University of Miami and they charge the following:

Muscle
88305 x1: Surgical Path,gross,micro
88313 x2: Paraffin: H&E Plastic
88314 x2: cryostat H&E Trichrome
88319 x8: Enzyme HistoChem: NADH,Esterase, ATPasex3,Cox, Cox & SDH, SDH

Nerve
88305 x1: Surg Path,gross,micro
88313 x6: Paraffin H&E,Trichrome,Luxol Fast Blue,Toludine Blue, Crystal Violet,Silver Stain
88314 x2: Cryostat: H&E,Trichrome
88319 x1: Frozen Section Histochem: Esterase
88348 x1: Nerve Electron Micro
88356 x1: Nerve Morphometry
88362 x1: Nerve Teased Preps

As far as frozen section touch preps, they came out with new CPT's in 2006 as follows:
88333 Path consult during surgery (cyto exam) initial site ie.touch prep,squash prep
      physician fee global $75-100+
      technical $17-25
88334 cyto exam, EACH ADDITIONAL SITE, touch prep,squash prep
      physicain fee $40-50+
      technical $10-15
this info was given to me by Health Systems Concepts,Inc.

hope this helps!!!
Kari :)

Kari Marie Zajic HT,MLT
Histology Supervisor
Palms West Hospital
Pathology Department
13001 State Road Eighty
Loxahatchee, Florida 33470
phone:      (561)798-6036
telefax:     (561)753-4298
voicemail: (561)753-4299
pager:       (561)610-4949
email: Kari.Zajic <@t> HCAHealthcare.com

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-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu]On Behalf Of Vickroy,
Jim
Sent: Wednesday, August 02, 2006 12:08 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] charging and CPT questions


 

Can anyone shed any light on the proper way to code and charge the
following:

 

1.	Muscle Biopsy Histochemistry - Frozen sections -88314 or 88319?
I'm not sure which one. 

 

2.	Touch preps -  Done when we do a frozen section.   The frozen
section is 88331 and the touch prep should be 88333 or 88334? 

 

      3.   Semi-thin sectioning of nerve biopsies - Plastic embedding
In the past we charged all nerve bxs with an 88348 (EM) charge since

                    not only did we do the semi-thin sectioning but we
also did the transmission EM.  Our neuropathologist  now wants the
semi-thin sections

                     routinely but not the rest of the EM examination.

 

Thanks

 

Jim Vickroy

Technical Supervisor - Surgical and Autopsy Pathology

Memorial Medical Center

 



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