The change in place now allows for billing multiple blocks from the same specimen for the same special stain (it isn't just immunos) BUT you must justify this (should be done by a statement in the report micro). You are not permitted just because you wanted to stain multiple blocks to increase your chance of identifying the target, rather you must indicate that EACH additional block presents additional information. This could be assumed to always be the case for sentinel nodes (you are specifically looking for tumor in each block), but would not be true if you have a multiple blocks of a lung tumor that you were testing for some specifc marker. Bill Tench Associate Dir. Laboratory Services Chief, Cytology Services Palomar Medical Center 555 E. Valley Parkway Escondido, California 92025 bill.te...@pph.org Voice: 760- 739-3037 Fax: 760-739-2604
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