[Histonet] Billing for Pin 4 Cocktail

[Kuhnla, Melissa]

I always thought you could bill for three due to three distinguishable
staining patterns.  The two cytokeratins can not be distinguished from
each other, therefore three charges instead of four (PIN4).

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Roger
Heyna
Sent: Monday, March 18, 2013 1:11 PM
To: Angela K. Bitting; histonet <@t> lists.utsouthwestern.edu; Vanessa Perez
Subject: RE: [Histonet] Billing for Pin 4 Cocktail

Our billing manager said the same thing. If the antibodies are being
applied separately, you can bill for each one. If antibodies are being
mixed and applied at the same time, you can only bill for one. It sounds
like the difference between a double-stain (two different chromogens)
and a single stain using an antibody cocktail. I still don't think we're
doing it correctly, because we're billing for three, but at least it
sounds like we can bill for two, which seems logical.
 
Have others heard something different?
 
Roger Heyna
Maywood, IL

>>> "Bitting, Angela K." <akbitting <@t> geisinger.edu> 3/18/2013 7:49 AM >>>
I was given info from a Dako rep last week that if the primary
antibodies are "applied" separately to the slide as is true with Ventana
instruments, you can charge for  both.  I am skeptical. Has anyone else
heard this?

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Vanessa
Perez
Sent: Friday, March 15, 2013 12:43 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Billing for Pin 4 Cocktail


Its actually not allowed already.  Any cocktail where all stains are
done at one time on one slide can only be charged x1 even if its 2 or
more antibodys in the cocktail.  One of our reps updated us with our PIN
cocktail



-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Roger
Heyna
Sent: Friday, March 15, 2013 11:09 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] Billing for Pin 4 Cocktail

Our lab currently bills for three, and I know of other labs in our area
that also bill for three. I have heard rumors that this may not be
allowed in the near future.

Roger Heyna
Maywood, IL

>>> Debbie Granato <debgranato <@t> yahoo.com> 3/15/2013 11:00 AM >>>
We have a billing question for the PIN4 Cocktail that we perform on
prostate needle biopsies.
We currently use the Biocare CK5+CK14+p63 and then add the Biocare P
504S in the lab.
How would you bill for this?
Would billing for 1 stain be correct or can you bill for 3 stains?

Thank you for your input.
Debbie Granato

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