[Histonet] IHC billing question

Garreyf garreyf <@t> gmail.com
Thu Apr 30 16:52:25 CDT 2015


Your Lis should not have done that.
If you are using Copath/Cerner, I think they have automated it now according to their most recent newsletter. Currently, I have to manually change the 88342's to 1's It's somewhat of a pain. But, your Lis should have consulted someone before deleting all codes. Your pathologists should have been on top of it as well imho. Unfortunately, someone has to change. It may be too late to bill too for some.
Garrey

Sent from my iPhone

> On Apr 30, 2015, at 5:44 PM, Mike Pence <mpence <@t> grhs.net> wrote:
> 
> We do all of our IHC billing manually.
> 
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of WILLIAM DESALVO
> Sent: Thursday, April 30, 2015 4:43 PM
> To: Cartun, Richard
> Cc: histonet <@t> lists.utsouthwestern.edu
> Subject: Re: [Histonet] IHC billing question
> 
> We have to manually review the IHC billing also and continue to audit. It took billing and IT three months to create the logic to automate billing for a specimen and account for combination of there being the possibility of 88341, 88342 & 88344 and the proper combinations.
> 
> Sent from my iPhone
> 
>> On Apr 30, 2015, at 2:34 PM, Cartun, Richard <Richard.Cartun <@t> hhchealth.org> wrote:
>> 
>> Effective January 1, 2015, our LIS team removed all of the CPT 88342 codes for IHC from our CoPath stain dictionary since you couldn't tell whether a Cytokeratin-7 was being performed as an "88341" or as an "88342".  Now, as you might have expected,  none of the "inpatient" IHC testing has been accounted for (the outpatient IHC has been billed manually from the pathology report), and they want someone to go back and enter all the CPT codes into the system (hopefully, not me!).  Has anyone else encountered this problem?  Thanks (I think).
>> 
>> Richard
>> 
>> Richard W. Cartun, MS, PhD
>> Director, Histology & Immunopathology
>> Director, Biospecimen Collection Programs Assistant Director, Anatomic 
>> Pathology Hartford Hospital
>> 80 Seymour Street
>> Hartford, CT  06102
>> (860) 972-1596
>> (860) 545-2204 Fax
>> 
>> 
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