Yes, this appears to be correct. Excerpted from Dennis Padget:
AMA prescribes codes 88342 and 88343 for qualitative IHC:
The AMA's CPT-2014 codebook offers two codes for reporting with qualitative
immunohistochemistry (IHC) testing. The codes and official parenthetical
instructions for their use starting Jan. 1 are as follows:
88342 Immunohistochemistry or immunocytochemistry, each separately
identifiable antibody per block, cytologic preparation, or hematologic smear;
first separately identifiable antibody per slide
(Do not report 88342 in conjunction with 88360 or 88361 for the
same antibody)
(For quantitative or semi-quantitative immunohistochemistry, see
88360, 88361)
88343 each additional separately identifiable antibody per slide (List
separately in addition to code for primary procedure)
(Use 88343 in conjunction with 88342)
(When multiple antibodies are applied to the same slide, use one unit of
88342 for the first separately identifiable antibody and one unit of 88343 for
each additional identifiable antibody)
CMS prescribes codes G0461 and G0462 for qualitative IHC:
CMS will not accept CPT code 88342 or 88343 on a claim effective with dates of
service on and after Jan. 1, 2014: Those two codes are "not valid for Medicare
purposes" and will be summarily denied if billed. To report a professional,
technical or global charge for qualitative immunohistochemistry (IHC) testing
for a Medicare beneficiary on and after Jan. 1, 2014, you must use the
applicable HCPCS Level II code as follows:
G0461 Immunohistochemistry or immunocytochemistry, per specimen; first single
or multiplex antibody stain
G0462 each additional single or multiplex antibody stain (List separately
in addition to code for primary procedure)
Codes G0461 and G0462 have 26 and TC modifier lines in the 2014 physician fee
schedule, so you'll bill them using the modifier (or no modifier, if entitled
to bill the global service) that applies to your practice and any given
Medicare beneficiary claim.
CMS prescribes that you continue to bill for qualitative IHC testing 'per
specimen' as you have since Jan. 1, 2012. Furthermore, you'll continue to bill
for quantitative IHC testing 'per specimen' using CPT codes 88360 and 88361
just as you do today and have done since Jan. 1, 2012.
Hope this helps. We are still working through how we are going to accomplish
this in our LIS,
Joe W. Walker, Jr. MS, SCT(ASCP)CM
Manager of Anatomical Pathology, Microbiology and Reference
Rutland Regional Medical Center
160 Allen Street, Rutland, VT 05701
P: 802.747.1790 F: 802.747.6525
Email [email protected] www.rrmc.org
Our Vision:
To be the Best Community Healthcare System in New England
Rutland Regional...Vermont's 1st Hospital to Achieve Both ANCC Magnet
Recognition® and the Governor's Award for Performance Excellence
-----Original Message-----
From: [email protected]
[mailto:[email protected]] On Behalf Of Paula Lucas
Sent: Tuesday, December 17, 2013 2:46 PM
To: [email protected]
Subject: [Histonet] New code 88343
Hello,
Can someone shed some light for me on this new code for IHC? I think the code
refers to double stain antibodies?
Thanks in advance
: )
Paula Lucas
Lab Manager
Bio-Path Medical Group
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