[Histonet] RE: 88342 - again

[Weems, Joyce K.]

Our pathologists have learned that on the professional side some private carriers are billing for only one even if there are multiples on the same specimen. (United specifically)

They have also learned that Medicare will not pay for multiples unless they are on separate lines.
        e.g. if 10 IHC on one specimen and you bill
                G0461 x 1
                G0462 x 9
        Medicare will reimburse for 2 immunos.
You must have G0462 on 9 separate lines.

I have not been able to find out how the hospital is being reimbursed yet.



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: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Blazek, Linda
Sent: Tuesday, March 04, 2014 7:51 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] 88342 - again

Good morning,

Has anyone seen or know anything yet as to how insurances are paying for multiple 88342's on a case for non-Medicare patients?  It seems as though no one yet is sure what is going on.
Thanks,
Linda

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