[Histonet] CPT Code 88172

[Joe W. Walker, Jr.]

Hi Thomas,

What is your reference source for stating this is "a physician code"?  In reviewing our coding data, this code carries a facilities component in addition to a professional component.  I agree that a pathologist must perform the review in order to bill for both, but I am aware of people in New England who bill just the TC when a technologist provides the adequacy interpretation and some payers cover this charge.

Joe W. Walker, Jr. MS, SCT(ASCP)
Anatomical Pathology Manager
joewalker at rrmc.org, www.rrmc.org

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From: Webster, Thomas S. via Histonet <histonet at lists.utsouthwestern.edu>
Sent: Wednesday, September 4, 2019 1:31 PM
To: 'histonet at lists.utsouthwestern.edu' <histonet at lists.utsouthwestern.edu>
Subject: Re: [Histonet] CPT Code 88172

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You can only bill for 88172 if the pathologist looks at the FNA slide(s) during the procedure.  Otherwise do not attempt to bill for it.  It is a physician code.


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