I'd be very careful with this. Histochemical even if it's on frozen section such as 88314 does not mean immunohistochemical which is 88342 to my understanding. To my understanding anytime you use a antibody it's a 88342 code. Now as far as being able to code for each margin say from 3-6 or 6-9 o'clock etc that seems like it would fall under the rules for each site to me kind of like we would charge a 88307 or 88309 for excision with margins instead of a 88305 which pays less. I personally recommend this not be left in the hands of google or even histonet. Good information comes from both but you might just want to put a call into American society of MOHs and ask. Because over billing is serious business and can get you in a lot of trouble. I only say this because usually in MOHs you'll get the whole specimen which your checking for margins. Then any piece after that would be a separate specimen example that would be part " B " which you could charge separate for. And since different docs do this differently making a call couldn't hurt then you could come and share what they say with us :)
Sent from my iPhone On Jun 15, 2012, at 2:20 PM, "Carol Torrence" <ctorre...@kmcpa.com> wrote: > By George I've got it! This is what I read from "Coder's Choice CPT Plus" > > 88314 is for IHC performed on frozen tissue.......when a nonroutine > histochemical stain on frozen tissue during Mohs surgery is utilized, report > 88314 with modifier 59. Report one unit of 88314 for each special stain on > each frozen surgical pathology block. > > Carol M. Torrence, HT(ASCP)CM > Director of Laboratory Services > KMC Dermatology - Pathology > 2921 SW Wanamaker Dr. > Topeka, Kansas 66614-5334 > 785-273-2788 ext 328 > fax 785-272-6185 > ctorre...@kmcpa.com > > > > > > > > > > > > _______________________________________________ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
