[Histonet] Re: CPT code
Billing Consultants, LLC
billingconsultants <@t> yahoo.com
Thu Jan 25 04:45:20 CST 2007
The CPT code for slide preparation is the level of service (ie: 88305) with the TC modifier attached. That lets the insurance companies know that you prepared the slides for reading elsewhere.
Should you have any questions or I may be of further assistance, please let me know. I may be reached at 1-877-822-7100,
Kindest Regards,
Louri Roberts
Billing Consultants, LLC
www.billingconsultants.net
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Today's Topics:
1. Sakura VIP-5 and Alarm System (William Chappell)
2. Re: mouse pituitary (tracy.bergeron <@t> crl.com)
3. CPT Code for preparing on slide (Tom McNemar)
4. Re: embedding without a station? (Anila Syed)
5. Fat stains on P/S. (mtitford <@t> aol.com)
6. HOSTOLOGIST Opportunities with BayCare Health System
(Nevard, Jann)
7. RE: CPT Code for preparing on slide (Terri Braud)
8. RE: Ye Olde Days (Blazek, Linda)
9. RE: embedding without a station? (Blazek, Linda)
10. RE: RE: embedding without a station? (Ingles Claire)
11. Re: embedding without a station? (RSRICHMOND <@t> aol.com)
12. RE: Ye Olde Days (Jackie M O'Connor)
13. Re: mouse pituitary (Roger Moretz)
14. RE: Ye Olde Days (Ford Royer)
15. Re: Re: embedding without a station? (Jennifer MacDonald)
16. histology position in Seattle (Ken Pierce)
17. Re: Goldner's Trichrome Staining (RSRICHMOND <@t> aol.com)
18. Beta Gal staining on formalin fixed mouse embryo's (James Watson)
19. Tennessee Society for Histotechnology Call for abstracts
(Hofecker, Jennifer L)
20. Re: Ye Olde Days (Joe Nocito)
21. Microtome Blades (MICHELLE SEAGLE)
22. Re: Re: Goldner's Trichrome Staining (Bryan Hewlett)
23. Bar Code Labels (Lena Spencer)
24. Robert Lott (judy webb)
25. RE: MICROTOME BLADES (Yvonne Jones)
----------------------------------------------------------------------
Message: 1
Date: Wed, 24 Jan 2007 10:04:50 -0800 (PST)
From: William Chappell
Subject: [Histonet] Sakura VIP-5 and Alarm System
To: histonet <@t> lists.utsouthwestern.edu
Message-ID: <866756.76950.qm <@t> web37212.mail.mud.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1
Greetings all, I have been assigned with the tast of
finding a good after market alarm system (i.e. phone
dialer, etc.) that pairs with our brand new Sakura
VIP-5. Any ideas? Any Favorites? Any that just
don't work right?
Thanks,
Will
------------------------------
Message: 2
Date: Wed, 24 Jan 2007 13:04:18 -0500
From: tracy.bergeron <@t> crl.com
Subject: Re: [Histonet] mouse pituitary
To: histonet <@t> pathology.swmed.edu,
histonet-bounces <@t> lists.utsouthwestern.edu
Message-ID:
Content-Type: text/plain; charset="US-ASCII"
I did forget to mention we do this with Rat pituitary as well.
Someone asked me about trimming. Once the skull is sufficiently decaled
that it can be cut with a blade easily we trim away the excess skull, so
that the only portion remaining is the xc containing the pituitary gland.
Hope this is helpful.
Tracy E. Bergeron, BS, HT, HTL (ASCP)
Histotechnologist
Charles River Laboratories
Wilmington, MA
978-658-6000 x 1229
tracy.bergeron <@t> crl.com
Sent by: histonet-bounces <@t> lists.utsouthwestern.edu
01/24/2007 12:38 PM
To
histonet <@t> pathology.swmed.edu
cc
Subject
Re: [Histonet] mouse pituitary
The best way to ensure you have pituitary present in your samples
that come up from necropsy, is to have your necropsy folks open the skull
up so formalin can get to the brain, but not remove the brain from the
skull. You have a greater chance of keeping the pituitary intact if the
brain is removed after fixation.
Also for mouse pituitary we have found that because of it's size
it can be very easily damaged if removed from the skull for processing. We
generally remove the brain, then decalcify the skull with the pituitary in
place (formic acid decal solution). Then process, embedd, and cut the xc
of skull containing the pituitary. Since switching to this method we
rarely have issues with lost or damaged pituitary tissue.
Tracy E. Bergeron, BS, HT, HTL (ASCP)
Histotechnologist
Charles River Laboratories
Wilmington, MA
978-658-6000 x 1229
Atoska Gentry
Sent by: histonet-bounces <@t> lists.utsouthwestern.edu
01/24/2007 12:21 PM
To
Histonet
cc
Subject
[Histonet] mouse pituitary
Leon, thanks my apologies my wording was a little off. I should have
said it's location in relation to mouse brain. Guess I got caught up
with the inability to find it *in* the _Atlas of the Mouse Brain and
Spinal Cord_ that we have on hand. I'm aware perfectly aware of it's
general location. It's just that sometimes it's present in the samples
rec'd from necropsy and other's it's not. And our research though
primarily small animal does not routinely involve mice or rats. Thanks
for your assistance. Atoska
Leon Brokken wrote:
The pituitary in both mouse and rats is located _under_ the brain, not
_in_. It is rather easy to dissect however. If the skull is opened from
the top, one can carefully lift the brain out of the skull after
disconnecting the optical nerves. The pituitary will remain situated at
the bottom of the brain 'cavity' and can then carefully be taken out as
a whole.
If you need more detailed help on dissection I can provide these
(allthough it has been a while ago since I performed these dissections).
Cheers, Leon.
Atoska Gentry wrote:
> Hello, does anyone have info on an atlas/manual in which the pituitary
> of either mouse or rat brain is distinctively displayed? We have a
> research collaborator who is specifically interested in studying
> mouse pituitary. But, we have not been able to find an atlas which
> shows it's exact location in mouse brain. And it is obviously not
> distinguishable upon gross exam. Your prompt replies will be much
> appreciated. Atoska :-)
>
>
--
Atoska S. Gentry, B.S., HT(ASCP)
Research Assistant IV
Scott-Ritchey RSCH Center
College of Vet. Med
Auburn, AL 36849
PH (334) 844-5579
FAX (334) 844-5850
email: gentras <@t> vetmed.auburn.edu
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------------------------------
Message: 3
Date: Wed, 24 Jan 2007 13:05:12 -0500
From: "Tom McNemar"
Subject: [Histonet] CPT Code for preparing on slide
To:
Message-ID:
<51D5D78FBEDAEA4FBCCD9A9D44211DC528F44D <@t> lmhsmail.lmhealth.org>
Content-Type: text/plain; charset="iso-8859-1"
We may start doing some work for an outside office and I need to create a new billable test. We would be processing blocks, embedding, cutting, and staining for H&E. Could anyone share with me what CPT code you use or how you bill it? Thanks so much.
Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcnemar <@t> lmhealth.org
www.LMHealth.org
------------------------------
Message: 4
Date: Wed, 24 Jan 2007 18:12:16 -0000
From: "Anila Syed"
Subject: Re: [Histonet] embedding without a station?
To:
Message-ID: <009b01c73fe3$2f525740$42640a52 <@t> pbn>
Content-Type: text/plain; charset="iso-8859-1"
Wow!! Thanks for all the suggestions and trips down memory lane! I dont get
how paper could have been used as moulds!! and I love the teapot idea!! As
for the asbestos and lead etc, I won't mention any of that to our safety
officer :)
Thanks everyone, I will try to go with a beaker in the incubator and a
hotplate, but will also try the doughnuts approach :)
Thanks
Anila
----- Original Message -----
From: "Monfils, Paul"
To:
Sent: Wednesday, January 24, 2007 4:50 PM
Subject: RE: [Histonet] embedding without a station?
We didn't have embedding stations when I started in histology. We had three
stainless steel pitchers of melted paraffin, maybe 500 ml each, in the
paraffin oven. We worked on a large, low temperature hotplate, called a
"slide warmer". We would take one of the pitchers to the "work station",
place it on the slide warmer. We would take the last paraffin container,
containing the processed specimens, off the rotary processor and plug it in
next to the hotplate. Take an embedding mold (these were made of paper,
folded by the histotechs at the end of the previous workday), write the
specimen ID on it, place it on the hotplate, pour paraffin into it from the
pitcher, unwrap the tissue sample (which were processed wrapped in lens
paper - no such thing as cassettes), place it in the mold, then transfer the
mold to a metal plate on top of a cakepan full of ice. When the pitcher of
paraffin started to get too cool, replace it in the oven and take another
pitcher. Sounds pretty primitive - mainly because it was - but it got the
job done.
> ----------
> From: histonet-bounces <@t> lists.utsouthwestern.edu on behalf of Anila Syed
> Sent: Wednesday, January 24, 2007 5:05 AM
> To: histonet <@t> lists.utsouthwestern.edu
> Subject: [Histonet] embedding without a station?
>
> Dear All,
>
> I have hundreds of carotid plaques to embedd. I have a tissue processor,
but
> no embedding station. Would anyone attempt to do this without an embedding
> station or do you think I should go and try to find the facilities
> somewhere?
>
> What did people do before embedding stations?
>
> Many thanks for your input and opinions,
>
> Anila Syed
>
>
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>
>
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Message: 5
Date: Wed, 24 Jan 2007 13:20:49 -0500
From: mtitford <@t> aol.com
Subject: [Histonet] Fat stains on P/S.
To: histonet <@t> lists.utsouthwestern.edu
Message-ID: <8C90DFB81F67059-137C-11F5 <@t> WEBMAIL-MA20.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"
Tam Melville asks about fat stains on paraffin sections.
Some lipids do remain in paraffin sections although most are removed by the organic solvents used in processing. I do not think any "fat droplets" would survive paraffin processing. Compound lipids, like sphingomyelin do survive and can be demonstrated by Sudan black, but the whole thing is less than perfect. They stain a kind of grey color. McManus published a method in which you take P/S sections to 70% alcohol, stain in sat. Sudan black in 70% alcohol for 30 min to 3 hours at 60oC, rinse in 70% alcohol, and then counterstain and mount in aquous mounting medium. I don't have the reference, but it is on page 302 of the 1968 edition of "Handbook of histopathological techniques" by C.F.A. Culling. We do it occasionally when a resident says "D***, I should have done a F/S fat stain on this"
Michael Titford
Pathology
USA Mobile AL
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Message: 6
Date: Wed, 24 Jan 2007 14:09:31 -0500
From: "Nevard, Jann"
Subject: [Histonet] HOSTOLOGIST Opportunities with BayCare Health
System
To:
Message-ID:
<98ECE5B11C59DE449F8949A45C52A8190400F95A <@t> EXCHANGE02-VS.BCAD.BAYCARE.ORG>
Content-Type: text/plain; charset="us-ascii"
JOB POSTING FOR BAYCARE HEALTH SYSTEM TAMPA BAY AREA FLORIDA
We are the 5th largest not-for-profit health care system in the U.S. and
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leaders in research and teaching, and have been ranked among the
nation's best health care providers. We can offer full time, part time
or pool. Feel free to visit us on the web at www.baycarejobs.com. If
you would like to hear more, please contact me below to set up a
telephonic interview.
The Histologist is responsible for all phases of tissue processing from
fixation to
final slide, including special stains and techniques; maintains all
files, records,
and documentation required by state and federal licensing boards; cleans
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other duties as assigned.
*Florida Licensure, 2+ years routine and special Histology experience.
Work occasional weekend.
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Currently I have needs for day shift and night shift. We offer full
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Please call me at the numbers.
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Regional Source Recruiter
BayCare Health System
Tel: 727-519-1315 Fax: 727-519-1323
Toll free: 1-866-221-3222 option 1
Web:www.baycarejobs.com
e-mail: jann.nevard <@t> baycare.org
Confidential: This electronic message and all contents contain information
from BayCare Health System which may be privileged, confidential or otherwise
protected from disclosure. The information is intended to be for the addressee
only. If you are not the addressee, any disclosure, copy, distribution or use
of the contents of this message is prohibited. If you have received this
electronic message in error, please notify the sender and destroy the original
message and all copies.
------------------------------
Message: 7
Date: Wed, 24 Jan 2007 14:18:49 -0500
From: "Terri Braud"
Subject: RE: [Histonet] CPT Code for preparing on slide
To: "Histonet \(E-mail\)"
Message-ID:
Content-Type: text/plain; charset="iso-8859-1"
Ahhhh.....the curse of the Histo billed tests. The CPT code for Processing, embedding, cutting and H&e's is based solely on the diagnosis of the type of tissue, per specimen, regardless of the number of blocks and slides produced.
If you are doing this work to be read elsewhere, you might do better to come up with a contracted price, billed through separate invoices. Your financial folks should be able to add to capture your billed tests if you are worried about showing workload.
If your pathologists are reading the slides, then you will have to bill based on diagnosis. You can arrange discounted pricing on current pricing through contracts from your hospital billing (if that's the route it takes) If I can help you negotiate through this, please just give me a call. Good Luck, T
Terri L. Braud, HT(ASCP)
Anatomic Pathology Supv.
Laboratory, Holy Redeemer Hospital
1648 Huntingdon Pike
Meadowbrook, PA 19046
(215) 938-3689
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu]On Behalf Of Tom
McNemar
Sent: Wednesday, January 24, 2007 1:05 PM
To: histonet <@t> pathology.swmed.edu
Subject: [Histonet] CPT Code for preparing on slide
We may start doing some work for an outside office and I need to create a new billable test. We would be processing blocks, embedding, cutting, and staining for H&E. Could anyone share with me what CPT code you use or how you bill it? Thanks so much.
Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcnemar <@t> lmhealth.org
www.LMHealth.org
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Message: 8
Date: Wed, 24 Jan 2007 14:20:30 -0500
From: "Blazek, Linda"
Subject: RE: [Histonet] Ye Olde Days
To: "Breeden, Sara" ,
Message-ID:
<6CBA6DC98A079D408C87250591D9DFB802684CDA <@t> bruexchange.digestivespecialists.com>
Content-Type: text/plain; charset="us-ascii"
Sally, Good grief you're old! But then of course I remember all of
those things also so I guess we're not all that old if we can still
remember them!
Linda
Linda Blazek HT (ASCP)
Manager/Supervisor
GI Pathology of Dayton
7415 Brandt Pike
Huber Heights, OH 45424
Phone: (937) 293-4424 ext 7118
Email: lblazek <@t> digestivespecialists.com
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Breeden,
Sara
Sent: Wednesday, January 24, 2007 12:03 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Ye Olde Days
Oh, goody! A Topic! I've been doing this histology thing since 1969
and BOY! have we come a long way! After a 20-year absence from a lab in
Albuquerque, I returned to find all these KIDS doing histo - and MEN to
boot! Okay, I'd been in the animal research world for a long time...
(and Joyce, I worked in Hawaii in 1977 - we could swap tales of
adventure!). So the KIDS asked several of us long-in-the-tooth techs
how it was in The Old Days. We made up a story about how we had to keep
chickens and bees in the back parking lot for the egg albumin (smearing
on slides) and the wax. We almost had 'em going for a while there,
because as Experienced Professionals, we could make up a really, really
good tale! And I remember the "L" brackets, and the asbestos pad and
the Lipshaw dispenser and those huge/tall "rings" where you laid the
little piece of paper with the accession number. And, Fred, we all had
ashtrays on the ledge above our work station. OMG! It's a wonder we're
still alive! My old pathologist-boss still smokes and he's close to 90
- and he plays golf and is as sharp as ever. Aaaaahhhh... Ye Goode Olde
Days!
Sally Breeden, HT(ASCP)
NM Dept. of Agriculture
Veterinary Diagnostic Services
PO Box 700
Albuquerque, NM 87106
505-841-2576
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Message: 9
Date: Wed, 24 Jan 2007 14:23:12 -0500
From: "Blazek, Linda"
Subject: RE: [Histonet] embedding without a station?
To: "Anila Syed" ,
Message-ID:
<6CBA6DC98A079D408C87250591D9DFB802684CDB <@t> bruexchange.digestivespecialists.com>
Content-Type: text/plain; charset="us-ascii"
Someone needs to teach Anila how to make a boat!
Linda Blazek HT (ASCP)
Manager/Supervisor
GI Pathology of Dayton
7415 Brandt Pike
Huber Heights, OH 45424
Phone: (937) 293-4424 ext 7118
Email: lblazek <@t> digestivespecialists.com
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Anila
=== message truncated ===
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