[Histonet] 2014 billing changes

[Terri Braud]

Hi Susie and fellow Histonetters :
Susie - I am hoping to bill as you describe. To clarify - 
I will only use the 88343 when billing additional antibodies in a
cocktails that can be separately visualized on one slide, identified
with different chromogens, such as PIN-4. I will not use it for antibody
cocktails, such as AE1/AE3, both stained with DAB.
How I'm going to have our LIS translate the billing for CMS patients is
another store.
I'm having a similar issue with the changes in prostate biopsy billing
for CMS patients.
Arrrrrrggggghhhhhh!

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Holy Redeemer Hospital Laboratory
1648 Huntingdon Pike
Meadowbrook, PA 19046
Ph: 215-938-3676
Fax: 215-938-3874

   4. 2014 CPT Changes  (Susie Hargrove)

Message: 4
Date: Wed, 15 Jan 2014 19:02:46 +0000
From: Susie Hargrove <SHargrove <@t> unitedregional.org>
Subject: [Histonet] 2014 CPT Changes

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

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