[Histonet] Help with CPT code 88363 for archived tissue retrieval

Thu Jan 10 17:02:14 CST 2013

Same here - and we are being reimbursed. We don't charge much. Medicare new rate is $12.71 - but every billable test helps when that is what our productivity is based on! 

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: Victor A. Tobias [mailto:vtobias <@t> uw.edu] 
Sent: Thursday, January 10, 2013 5:47 PM
To: 'Bell, Lynne'; 'Richard Cartun'; Weems, Joyce K.; 'Mark Tarango'; 'Mike Pence'; 'Natalie Nagy'
Cc: 'histonet <@t> lists.utsouthwestern.edu'
Subject: RE: [Histonet] Help with CPT code 88363 for archived tissue retrieval

We have been billing a tech and pro fee since 2011. Whether we are getting reimbursed for both is another question.

Victor

Victor Tobias HT(ASCP)
Clinical Applications Analyst
Harborview Medical Center
Dept of Pathology Room NJB244
Seattle, WA 98104
vtobias <@t> u.washington.edu
206-744-2735
206-744-8240 Fax
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-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Bell, Lynne
Sent: Thursday, January 10, 2013 11:50 AM
To: 'Richard Cartun'; Joyce K. Weems; Mark Tarango; Mike Pence; Natalie Nagy
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Help with CPT code 88363 for archived tissue retrieval

I agree, Dr. Cartun.  I believe that the CPT Coding book specifically says that it is only a professional charge.

Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
130 Fisher Road
Berlin, VT  05641
802-371-4923
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Richard Cartun
Sent: Thursday, January 10, 2013 2:47 PM
To: Joyce K. Weems; Mark Tarango; Mike Pence; Natalie Nagy
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Help with CPT code 88363 for archived tissue retrieval

I'm not 100% sure, but I don't think this CPT code has a "Technical" component.

Richard

Richard W. Cartun, MS, PhD
Director, Histology & Immunopathology
Director, Biospecimen Collection Programs Assistant Director, Anatomic Pathology Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596
(860) 545-2204 Fax

>>> "Mike Pence" <mpence <@t> grhs.net> 1/10/2013 2:27 PM >>>
So are you putting the charge thru twice or is the charge for the 88363 divided out into tech and prof.?

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K.
Sent: Thursday, January 10, 2013 1:06 PM
To: 'Mark Tarango'; Natalie Nagy
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Help with CPT code 88363 for archived tissue retrieval

And I should explain the reason I most know this.. our pathologists were denied because the tech charge hadn't been entered yet. So now I make sure the tech charge is entered before sending to the pathologists billing folks.

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

This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s).
It may contain information that is privileged and confidential.  Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Mark Tarango
Sent: Thursday, January 10, 2013 2:01 PM
To: Natalie Nagy
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] Help with CPT code 88363 for archived tissue retrieval

It can't be used to just pull blocks.  The slides have to be reviewed and the best block chosen by a pathologist.  If there is only one block then the pathologist needs to look at the slides and determine if there is enough tissue for molecular testing.  It's a professional charge.

Use it on re-accessioned cases for which molecular testing is requested and the best block needs to be chosen.

Yes we use it when sending out for Oncotype DX if the case was signed out over 30 days before.

Mark

On Thu, Jan 10, 2013 at 7:36 AM, Natalie Nagy < Nagy_Natalie <@t> holyokehealth.com> wrote:

> Hi everyone,
>                    I just have a question about CPT code 88363, first 
> can it be used for pulling blocks for Oncotype DX testing, also is 
> there a time limit on when this code can be used? Does it have to be 
> within a year, a month, etc...of when the patient account went active?
>
> Thanks for all the help,
>
> Natalie J. Nagy (HT)ASCP
> Histology Supervisor
> Holyoke Medical Center
>
>
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