[Histonet] Re: [IHCRG] Re: another point on billing codes

[Joe Nocito]

I don't mind

JTT
----- Original Message ----- 
From: "Patsy Ruegg" <pruegg <@t> ihctech.net>
To: <Rcartun <@t> harthosp.org>; <rorr <@t> enh.org>; 
<histonet <@t> lists.utsouthwestern.edu>
Cc: "'IHCRG Resource Group (E-mail)'" <ihcrg <@t> googlegroups.com>
Sent: Wednesday, August 29, 2007 10:05 AM
Subject: [IHCRG] Re: another point on billing codes


>
> All,
> I find this thread interesting and was wondering if I have everyone's
> permission to use this as one of the questions for the NSH IHC Forum?
> Patsy
>
> -----Original Message-----
> From: ihcrg <@t> googlegroups.com [mailto:ihcrg <@t> googlegroups.com] On Behalf Of
> Richard Cartun
> Sent: Wednesday, August 29, 2007 6:49 AM
> To: rorr <@t> enh.org; histonet <@t> lists.utsouthwestern.edu
> Cc: IHCRG Resource Group (E-mail)
> Subject: [IHCRG] Re: another point on billing codes
>
>
> Interesting point.  We use semiquantitative scoring for ER, PR, and HER2
> performed on primary breast CAs.  Therefore, we use 88360x3 for these
> markers whether they are positive or negative.
>
> Richard
>
> Richard W. Cartun, Ph.D.
> Director, Immunopathology & Histology
> Assistant Director, Anatomic Pathology
> Hartford Hospital
> 80 Seymour Street
> Hartford, CT  06102
> (860) 545-1596
> (860) 545-0174 Fax
>
>>>> "Orr, Rebecca" <ROrr <@t> enh.org> 08/29/07 7:24 AM >>>
>
> Helayne,
> I'm interested in everyone's input on this thread.
> Charging for Breast cases seems to be as unclear as the processing
> guidelines.
> We are now in the process of figuring out charges if the ER PR Her2
> results are negative.
>
> ER PR Her2 are quantitative (2+, 3+) or semi quantitative (weakly or
> strongly positive, etc)
> Assuming these markers are ordered on a breast cancer (not a benign
> breast), even a negative result is quantitative and contributes to the
> outcome of the therapy., isn't this right?
> Please steer me in the right direction if this is an incorrect point.
>
> So we are being told by our billing folks that we must change the code
> on the negative resulted ER PR her2 to a lesser charge.
> I can understand if CPT may think doctors are charging on unnecessary
> IHC tests, but they are focusing on the wrong tests.
> (in my opinion).
> A negative or 0  result on these particular markers should NOT be
> synonymous with "
>
> Quite perplexing and frustrating.
>
>
> ---Original Message-----
>> From: histonet-bounces <@t> lists.utsouthwestern.edu
>> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu]On Behalf Of Parker,
>> Helayne
>> Sent: Tuesday, August 28, 2007 4:25 PM
>> To: histonet <@t> lists.utsouthwestern.edu
>> Subject: [Histonet] CPT codes
>>
>>
>> Hi all,
>>  Does anyone know the correct charges to charge a breast lump that
> must
>> be inked.  Someone told us we could only charge a -307 if it has
> cancer
>> in the micro margins.  As much gross work is done either way (cancer
> or
>> not) so what is the real truth ?  We have given most lumps 305 and I
> am
>> thinking we are undercharging.
>>
>> Thanks,
>> Helayne Parker, HT (ASCP)
>> Histology Section Head
>> Skaggs Community Health Center
>> Branson, Missouri
> Becky Orr CLA,HT(ASCP)QIHC
> Anatomic Pathology
> Evanston Northwestern Healthcare
> 847-570-2771
>
>
>
>
>
>
>
>
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