[Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends

Joe W. Walker, Jr. joewalker <@t> rrmc.org
Tue Oct 30 14:24:44 CDT 2012


I'm curious as to why you would characterize a 12 part prostate biopsy billing 88305x12 abuse?

Joe W. Walker, Jr. MS, SCT(ASCP)CM
Anatomical Pathology Manager
Rutland Regional Medical Center
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-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Davide Costanzo
Sent: Tuesday, October 30, 2012 2:56 PM
To: Webster, Thomas S.
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends

We still bill 88305 x 12 on prostates. It is common to do that, despite the obvious abuse this represents.

Sent from my iPhone

On Oct 30, 2012, at 10:38 AM, "Webster, Thomas S." <twebster <@t> crh.org> wrote:

> The technical component of the 88305 CPT code is about to get slashed next month by CMS. This will likely have an impact on the growth of in-office labs I am sure. Other codes are scheduled to be cut in 2014, including immunos and cytology 88112. It wont be nearly as profitable to have an in office lab. Plus Urologists aren't allowed to bill 88305x12 any longer. Some were putting cores in 12 different containers.
> Just look for more client billing to replace the in office labs.
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