[Histonet] Re: Histonet Digest, Vol 83, Issue 20

Weems, Joyce JWeems <@t> sjha.org
Fri Oct 15 09:45:14 CDT 2010


http://www.flpath.org/rli2.asp

Here is a link that will help..  

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of histotech <@t> imagesbyhopper.com
Sent: Friday, October 15, 2010 09:59
To: Weems, Joyce
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] Re: Histonet Digest, Vol 83, Issue 20

Can you please provide the specific CMS update number?  The website doesn't seem to be too user friendly ...   thanks!



On Oct 14, 2010, at 12:22 PM, "Weems, Joyce" <JWeems <@t> sjha.org> wrote:

> 
> CMS/NCCI Update Dated October 1, 2009
> 
> 8. The unit of service for special stains (CPT codes 88312-88313) and 
> immunohistochemistry (CPT codes 88342, 88360, 88361) is each stain. If 
> it is medically reasonable and necessary to perform the same stain on 
> more than one specimen or more than one block of tissue from the same 
> specimen, additional units of service may be reported for the 
> additional specimen(s) or block(s). Physicians should not report more 
> than one unit of service for a stain performed on a single tissue 
> block. For example it is common practice to cut multiple levels from a 
> tissue block and stain each level with the same stain. The multiple 
> levels from the same block of tissue stained with the same stain 
> should not be reported as additional units of service. Only one unit 
> of service should be reported for the stain on multiple levels from 
> the single tissue block. Additionally, controls performed with special 
> stains should not be reported as separate units of service for the 
> stain.
> 
> 
> -----Original Message-----
> From: Mike Pence [mailto:mpence <@t> grhs.net]
> Sent: Thursday, October 14, 2010 11:31
> To: Weems, Joyce; histonet <@t> lists.utsouthwestern.edu
> Subject: RE: [Histonet] Re: Histonet Digest, Vol 83, Issue 20
> 
> Can you site your source, please.
> 
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, 
> Joyce
> Sent: Thursday, October 14, 2010 10:25 AM
> To: histonet <@t> lists.utsouthwestern.edu
> Subject: RE: [Histonet] Re: Histonet Digest, Vol 83, Issue 20
> 
> 
> 
> 
> The change is that you can bill per block now and not per specimen. This is for immunos and special stains. It does make a huge difference! 
> 
> Best,
> 
> Joyce Weems
> Pathology Manager
> Saint Joseph's Hospital
> 5665 Peachtree Dunwoody Rd NE
> Atlanta, GA 30342
> 678-843-7376 - Phone
> 678-843-7831 - Fax
> 
> 
> 
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Chris 
> Evanish
> Sent: Thursday, October 14, 2010 11:10
> To: histonet <@t> lists.utsouthwestern.edu
> Subject: [Histonet] Re: Histonet Digest, Vol 83, Issue 20
> 
> Has anyone heard of a cpt coding change that allows us to bill 88342 per slide run instead of per antibody? One of our Pathologist was at a conference and was told that we could do that. It makes a big difference with running cytokeratins on multiple blocks and levels of sentinel nodes.
> 
>  Thanks,
> Chris Evanish
> Montgomery Hospital
> Norristown PA
> 
> Chris D. Evanish
> Histology Supervisor
> Montgomery Hospital
> 610-270-2379
> 
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