[Histonet] 2014 CPT Changes
Gray, Ed
egray <@t> hsc.wvu.edu
Thu Jan 16 14:11:01 CST 2014
So elegant in its simplicity, I think I'll borrow it. Looks right to me.
Ed Gray | Clinical Application Coordinator | Phone: 304-293-2945 | Fax: 304-293-1627 | WVU Healthcare l egray <@t> wvuhealthcare.com
Message: 4
Date: Wed, 15 Jan 2014 19:02:46 +0000
From: Susie Hargrove <SHargrove <@t> unitedregional.org>
Subject: [Histonet] 2014 CPT Changes
To: "histonet <@t> lists.utsouthwestern.edu"
<histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<A35DA58C5D75BB41A6877BC03166AFEA4371ECDD <@t> UREXCHGP01.urhcs.local>
Content-Type: text/plain; charset="iso-8859-1"
Hello,
I know this subject had been looked at many times. I just want to see if I am correct before I start doing anything different.
1. 88342 , not much change . We can still just bill once per site, per case. This is per single antibody per Specimen. If I have a case with two parts and each part has 3 immuno's ordered I will bill them all 88342, Even if I do it on multiple blocks of the same specimen, I will still charge once.
If one of these antibodies is a cocktail, I will bill 88342 for the first and 88343 for subsequent parts of that cocktail, and I can do this per specimen. So the only change I see here is the breakdown of the cocktail charges into 88343.
2. Medicare codes, GO461 is ordered for the first antibody , per specimen site per case, all additional antibodies, including cocktails , if any, are billed GO462. As before only 1 antibody can be billed by site/source.
Now just to work out how the billing will flip over once the charges go across.
Is anybody doing it differently?
________________________________
Susie Hargrove HT (ASCP)
Histology Technical Specialist
United Regional Health Care
Wichita Falls, Texas 76301
Ph 940-764-3881
Fax-940-764-3129
________________________________
CONFIDENTIALITY NOTICE: This e-mail, and any attachment, may contain identifiable health information that is subject to protection under state and federal law. This information is intended only for the person or entity to which it is addressed. If you are not the intended recipient, be aware that any review, re-transmission, copying, dissemination or other use of this information by persons or entities other than the intended recipient is prohibited and may be punishable by law. If you received this in error, please return it to the sender by electronic mail (reply) and delete the material from any computer or server on which it resides due to your receipt.
------------------------------
Message: 5
Date: Wed, 15 Jan 2014 19:51:13 +0000
From: "Abbott, Tanya" <TanyaAbbott <@t> catholichealth.net>
Subject: [Histonet] Cryostat
To: "Histonet <@t> lists.utsouthwestern.edu"
<Histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<852F7D2C14FB464D80E182B15DB138AF1FE72E13 <@t> CHIEX005.CHI.catholichealth.net>
Content-Type: text/plain; charset="us-ascii"
Need to decon my cryostat
Tanya G. Abbott RT (CSMLS)
Manager Technologist, Histology/Cytology St. Joseph Medical Center Reading, PA 19603-0316 ph 610-378-2635 fax 610-898-5871
email: tanyaabbott <@t> catholichealth.net
This electronic mail and any attached documents are intended solely for the named addressee(s) and contain confidential information. If you are not an addressee, or responsible for delivering this email to an addressee, you have received this email in error and are notified that reading, copying, or disclosing this email is prohibited. If you received this email in error, immediately reply to the sender and delete the message completely from your computer system.
------------------------------
Message: 6
Date: Wed, 15 Jan 2014 23:02:18 -0500
From: abtdhu <@t> gmail.com
Subject: [Histonet] Do I have to destabilize MMA?
To: "histonet <@t> lists.utsouthwestern.edu"
<histonet <@t> lists.utsouthwestern.edu>
Message-ID: <275D41A2-62A7-4B73-A627-A2A9DE530BF4 <@t> gmail.com>
Content-Type: text/plain; charset=us-ascii
I am new to MMA plastic bone technique. Some one gave me his protocol, in which has NaOH and d-water to wash MMA mixture before drying it in CaCl2. But others told me I don't need to do the destabilization step. Could any expert in this area to tell me if this step is necessary? And why have to do?
Sent from my iPad
------------------------------
Message: 7
Date: Thu, 16 Jan 2014 04:50:21 -0600
From: Jack Ratliff <ratliffjack <@t> hotmail.com>
Subject: Re: [Histonet] Do I have to destabilize MMA?
To: "abtdhu <@t> gmail.com" <abtdhu <@t> gmail.com>
Cc: "histonet <@t> lists.utsouthwestern.edu"
<histonet <@t> lists.utsouthwestern.edu>
Message-ID: <BLU0-SMTP1759356A8873B92E3DF8F4EAEB90 <@t> phx.gbl>
Content-Type: text/plain; charset="us-ascii"
Dorothy,
There are some that completely believe that it is necessary to destabilize MMA prior to use and they are not necessarily wrong as the protocol has worked for them without issue......so I assume. I personally have NEVER had to or tried this destabilization method, quite frankly because I have NEVER had a problem creating an acrylic resin embedded block, regardless of the tissue or size of the tissue, when simply combining monomer (MMA) with softener (DBP) and catalyst (Perkadox 16) in my almost 15 years of exclusively working with this resin for demonstrating bone, biomaterials and medical device implants. Again, I am not saying that the protocol given to you does not work, but rather it is my personal experience that this destabilizing method is an unnecessary step and a waste of time and expense.
Hope this helps and please feel free to contact me if you have any additional questions or concerns.
Best Regards,
Jack Ratliff
> On Jan 15, 2014, at 10:02 PM, abtdhu <@t> gmail.com wrote:
>
> I am new to MMA plastic bone technique. Some one gave me his protocol, in which has NaOH and d-water to wash MMA mixture before drying it in CaCl2. But others told me I don't need to do the destabilization step. Could any expert in this area to tell me if this step is necessary? And why have to do?
>
> Sent from my iPad
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>
------------------------------
Message: 8
Date: Thu, 16 Jan 2014 13:32:39 +0000
From: joelle weaver <joelleweaver <@t> hotmail.com>
Subject: RE: [Histonet] RE: error rate for sectioning
To: Michael LaFriniere <michael.lafriniere <@t> ccplab.com>, "Zerfas,
Patricia (NIHODORS) [E]" <zerfasp <@t> ors.od.nih.gov>,
"histonet <@t> lists.utsouthwestern.edu"
<histonet <@t> lists.utsouthwestern.edu>
Message-ID: <SNT149-W4158EAA31A9BF1DD7787E2D8B90 <@t> phx.gbl>
Content-Type: text/plain; charset="iso-8859-1"
My current QA monitors
Not more than 0.17% slides mislabeledNot more than 1.0% of tissue blocks-reoriented ( embedding errors)Not more than 1.0% of tissue blocks reprocessed ( gross problem)Not more than 1% of specials and IHC stain slides repeated ( technical issues-not DX)Not more than 0.1% of slides, with documented evidence of cross contamination, requires RCA Based mostly on CAP- HQUIP, but some literature. Use LIS and HC1 to track in addition to manual methods for reporting, repeats etc. The medical director (pathologist) supervises , provides oversight for the quality issues and resulting corrective actions.
Joelle Weaver MAOM, HTL (ASCP) QIHC
> From: Michael.LaFriniere <@t> ccplab.com
> To: zerfasp <@t> ors.od.nih.gov; histonet <@t> lists.utsouthwestern.edu
> Date: Tue, 14 Jan 2014 19:32:56 +0000
> CC:
> Subject: [Histonet] RE: error rate for sectioning
>
> Hi Patricia,
>
> Error rates should not be set by employers. You should have an effective QA management program and committee even in small practices with the Medical Director as the Chair. The committee sets and establishes error rate thresholds with monthly monitors in place to seek opportunities of improvement should error rates exceed below the set threshold.
>
> Hope this helps!
>
> Michael
>
> Michael R. LaFriniere, HT (ASCP)
> Executive Director
>
>
> Capital Choice Pathology Laboratory
>
> 12041 Bournefield Way, Suite A * Silver Spring, MD 20904
>
> P: 240.471.3427 * F: 240.471.3401 * Cell 410-940-8844
>
> michael.lafriniere <@t> CCPLab.com
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of
> Zerfas, Patricia (NIH/OD/ORS) [E]
> Sent: Saturday, January 11, 2014 4:25 PM
> To: histonet <@t> lists.utsouthwestern.edu
> Subject: [Histonet] error rate for sectioning
>
>
>
> Hi All,
> What is the error rate set by you or your employer for paraffin sectioning?
>
> These are slides that are found to be unacceptable due to wrinkling, folding etc either by a pathologist or another reviewer.
>
> I was found to have 6 slides out of approx 1500 that I have sectioned to date to be unacceptable. I only perform this duty when I have completed all of my other work so this is not one of my regular duties. At times I have gone several months without sectioning and utilize a microtome that is approx. 26 years old.
>
> Since this was brought to my attention I have been given more up to date equipment which I have yet to utilize.
>
> Thanks in advance for your feedback.
>
> Patricia Zerfas
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
------------------------------
Message: 9
Date: Thu, 16 Jan 2014 09:01:47 -0500
From: Dorothy Hu <abtdhu <@t> gmail.com>
Subject: [Histonet] Re: Do I have to destabilize MMA?
To: "histonet <@t> lists.utsouthwestern.edu"
<histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<CAJ2-qz79J7gr9SBAxq+4dUeGQ6fAhefs_noCkEZP6bdK55x5Tw <@t> mail.gmail.com>
Content-Type: text/plain; charset=ISO-8859-1
Thanks Jack's answer. I though I shouldn't to destabilization step as well.
But my boss wants to do it. Is there a chemical theory behind this? Why previous protocol has this step (it must be reason)? And why the step is skipped now? I wish I know before approaching my boss.
Additionally, there is a problem always bothering me in plastic sectioning.
I often get cortical bone shattering ( crumbly) in the midshaft of long bone. Cortical bone and marrow are operate in the midshaft. I don't know why is that. It's not happen in the two ends of tibia and femur bone. And doesn't happen on ankle bones. Is that because the bone was stored in 70% EtOH too long (~one year)? I think infiltration is good since I did three times, 2 days each infiltration under vacuum condition in 4oC. If I use 40% EtOH to fix and store the bones will help?
One more question. What is advantage if I use perkadox 16 to replace BP as catalyst? Do I have to dry MMA//DBP/perkadox 16 mixture through CaCl2?
Thanks in advance for your help.
Dorothy
MGH endocrine histocore
On Wed, Jan 15, 2014 at 11:02 PM, <abtdhu <@t> gmail.com> wrote:
> I am new to MMA plastic bone technique. Some one gave me his protocol,
> in which has NaOH and d-water to wash MMA mixture before drying it in CaCl2.
> But others told me I don't need to do the destabilization step. Could
> any expert in this area to tell me if this step is necessary? And why
> have to do?
>
> Sent from my iPad
------------------------------
_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
End of Histonet Digest, Vol 122, Issue 19
*****************************************
More information about the Histonet
mailing list