[Histonet] Billing IHC on MOHS

[Ingles Claire]

Is this per "Specimen" or per surgical site. Mohs specimens are usually cut into smaller pieces and inked after the excision is removed. I would think this constitutes x# of blocks from the same specimen. Same as an excision that is breadloafed into separate sections. I don't think it matters who does the cutting, although when we send these to path for permenents they are logged in a separate specimens but only measured, never breadloafed.  Is it more dependent on how it is received in the lab even though the end result is still the same? 
Claire

________________________________

From: histonet-bounces <@t> lists.utsouthwestern.edu on behalf of Weems, Joyce K.
Sent: Thu 6/14/2012 2:20 PM
To: 'Carol Torrence'; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Billing IHC on MOHS



If each location is identified as a separate specimen, you can bill per specimen, is the way I understand it.


e.g.
Received separately - 88342 x 4

3:00 margin - A
6:00 margin - B
9:00 margin - C
12:00 margin - D

If one specimen is received and divided into separate cassettes  - 88342 x 1
A1 - 3:00 margin
A2 - 6:00 margin
A3 - 9:00 margin
A4 - 12:00 margin

Best, $1,783.00

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.weems <@t> emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Carol Torrence
Sent: Thursday, June 14, 2012 2:37 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Billing IHC on MOHS

I have a question about billing IHC on MOHS.  When I go through the coding rules..I can defend it either way... I think. Ha!  If you are doing the same antibody on one site with 5 individual zones, taking 5 independently labeled
slides and each zone requires evaluation before continuing surgery.   Do you
charge 88342 times 5 or just once.  I understand it would be just once if this was a routine surgical specimen but this is a horse of a different color.



For example.  Even for frozen sections performed during surgery, additional margins can be charged as additional frozen sections.


Thanks in advance!



Carol M. Torrence, HT(ASCP)CM



ctorrence <@t> kmcpa.com





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