[Histonet] problem with 88305 reimbursement

Cynthia Pyse cpyse <@t> x-celllab.com
Tue Jan 29 12:51:12 CST 2013

Hi Histonetters

We are currently having a problem with our Medicare reimbursement on the
tech component of the 88305. If the patient has been seen at a hospital,
either in-patient or out- patient, we are told by Medicare that we have to
contract with that hospital to bill for the 88305. The biopsy was not done
at the hospital but in a doctor's office. According to Medicare if there the
same date of service it can only be billed through the hospital. Medicare is
calling it consolidated billing. I can't see how the hospital can bill for
something that was done in the doctor's office then sent to an independent
lab. Is anyone else having this problem? How are you handling it with
Medicare? Any help would be appreciated. Thanks in advance




Cindy Pyse, CLT, HT (ASCP)

Laboratory Manager

X-Cell Laboratories

20 Northpointe Parkway Suite 100

Amherst, NY 14228

716-250-9235 etx. 232

e-mail cpyse <@t> x-celllab.com


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