[Histonet] change in CPT coding rule

Tench, Bill Bill.Tench <@t> pph.org
Thu Oct 14 11:02:38 CDT 2010

The change in place now allows for billing multiple blocks from the same
specimen for the same special stain (it isn't just immunos)  BUT you
must justify this (should be done by a statement in the report micro).
You are not permitted just because you wanted to stain multiple blocks
to increase your chance of identifying the target, rather you must
indicate that EACH additional block presents additional information.
This could be assumed to always be the case for sentinel nodes (you are
specifically looking for tumor in each block), but would not be true if
you have a multiple blocks of a lung tumor that you were testing for
some specifc marker.
Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
Bill.Tench <@t> pph.org
Voice: 760- 739-3037
Fax: 760-739-2604

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