[Histonet] question about charges

[Weems, Joyce]

It's in the CPT code guidelines. There are some specimens that need to be "bundled" for charging, but if you have separate specimens that require separate diagnoses, each specimen gets a separate charge. 

Yes, you would charge for the uterus - depending on whether it is malignant or not and an 88302 for an incidental appendix. If you have uterus, tubes, and ovaries, there are guidelines about bundling those specimens - sometimes you don't. 

There are many good resources for billing. Dennis Padget is a good one. He has good instructions and answers for all questions. Our pathologists have subscribed to his services. 

Good luck.

Joyce Weems
Pathology Manager
Saint Joseph's Hospital 
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
404-851-7376 - Phone
404-851-7831 - Fax


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu]On Behalf Of Green,
Kathy
Sent: Wednesday, October 17, 2007 8:06 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] question about charges


Does anyone have "proof" in regard to the ruling of charging multiple
specimens?  For example, currently if we get a specimen slip with a
uterus, non neoplastic (88307) & an appendix, we can only charge for the
"higher" item.  Our new director is sure that where he was before they
were able to charge for multiple specimens.  Our pathologists bill for
multiple specimens, but out billing dept. says that we aren't allowed.
So if anyone out there does "charge" for multiple specimens like that &
have "proof" or something that I can show to billing, I would greatly
appreciate it.

 

Kathy Green, HT

Manager Histology Laboratory

Holy Spirit Hospital

503 N. 21st Street

Camp Hill, PA  17011

kgreen <@t> hsh.org

(717) 763-2930

Blackberry:  (717) 370-1726

 



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