[Histonet] P26 billing for IHC Professional component

[Weems, Joyce K.]

Yes, that is how it would be done. Just a reminder if patient is Medicare/Medicaid, the hospital must bill for the technical component as well - UNLESS the patient is from an outreach physician's office. And you cannot go exclusively by age - there are underage Medicare patients.

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 Eileen Akemi Allison
Sent: Friday, January 16, 2015 9:19 AM
To: Histonet
Subject: [Histonet] P26 billing for IHC Professional component

Good morning Histoland:

Happy Friday! I was asked by a friend to post this on histonet.  They have a question for those of you who may be familiar with billing for the IHC professional component only.

Here is the scenario; a small lab who does not perform IHC in-house sends a block to be cut and stained for IHC to a reference lab who performs a stain only IHC. The reference lab then sends the stained slides back to the ordering facility and their pathologist makes the interpretation of the stained slides.

Arrangements have been made for the reference lab to charge the patients insurance company and/or patient for the technical component of the IHC stain.  How would the requesting facility billing department charge for the pathologists professional component? Do they charge with a P26 CPT code only?

Thank you in advance for your responses!

Akemi Allison BS, HT/HTL (ASCP)
President
Phoenix Lab Consulting
Marina, CA 93933
Tele: (408) 335-9994
Email: akemiat3377 <@t> gmail.com




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