[Histonet] RE: New CPT Codes for IHC

[Andrew Horvath]

Actually, for non-Medicare if there are multiple stains performed on a
block, where the initial CPT is 88342, any subsequent billing for stains on
that block would actually be 88343 from the information I see.  

Please refer to the links below for more information...

http://ahsrcm.com/assets/2014-Pathology-CPT-Code-Changes.pdf


https://www.aapc.com/memberarea/forums/showthread.php?t=101402



quote from the forum:

Quite and uproar about this in our office - and a lot of confusion. Go to
page 360 in this document to read Medicare's decision about this. (inactive
link removed)


"The CPT Editorial Panel revised the existing immunohistochemistry code, CPT
code 88342 and created a new add-on code 88343 for CY 2014. Current coding
requirements only allow CPT code 88342 to be billed once per specimen for
each antibody, but the revised CPT codes and descriptors would allow the
reporting of multiple units for each slide and each block per antibody
(88342 for the first antibody and 88343 for subsequent antibodies). We
believe that this coding would encourage overutilization by allowing
multiple blocks and slides to be billed. 
To avoid this incentive, we are creating G0461 (Immunohistochemistry or
immunocytochemistry, per specimen; first single or multiplex antibody stain)
and G0462 (Immunohistochemistry or immunocytochemistry, per specimen; each
additional single or multiplex antibody stain (List separately in addition
to code for primary procedure)) to ensure that the services are only
reported once for each antibody per specimen. We believe this will result in
appropriate values for these services without 
creating incentives for overutilization."

Some of our docs are participating in conference call today with CAP to help
clarify what this all means.


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
K.
Sent: Friday, October 03, 2014 12:33 PM
To: 'Adesupo, Adesuyi (Banjo)'; histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] RE: New CPT Codes for IHC

For non-Medicare it is per block - CPT code 88342.

For Medicare - per specimen. G0461 for the first antibody and G0462 for each
additional different ab.

Best, j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.weems <@t> emoryhealthcare.org



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-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Adesupo,
Adesuyi (Banjo)
Sent: Friday, October 03, 2014 2:07 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] New CPT Codes for IHC


  Hi,
        I hope you guys are doing well. Please I have a question about
billing the IHC. My question is do we bill by the number of antibodies or
blocks?

 Thanks,

 Banjo Adesuyi, BSMT, HT (ASCP) HTL, QIHC, QLS  Histology Supervisor  Norman
Regional Health System,  Norman, OK 73071.
 Tel: 405- 307- 1145


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