My understanding was that this is just for Medicare patients...
On Mon, Jan 6, 2014 at 12:35 PM, Johns, Jill <jjoh...@cpallab.com> wrote: > The following was taken from the NCCI manual, Chapter 10, effective 1/1/14: > > 9. The unit of service for in situ hybridization reported as CPT codes > 88365, 88367, or 88368 is each probe staining procedure per specimen. If a > single probe staining procedure for one or more probes is performed on > multiple blocks from a surgical specimen, multiple slides from a cytologic > specimen, or multiple slides from a hematologic specimen, only one unit of > service may be reported for each separate specimen. Physicians should not > report more than one unit of service for CPT codes 88365, 88367, or 88368 > per specimen for a probe staining procedure even if it contains multiple > separately interpretable probes. > > I'm wondering how other labs are interpreting this, because I'm not sure > how we continue to offer FISH testing and not go "in the hole" financially, > if we can only bill for ONE probe on ONE specimen, regardless of the actual > number of interpretable probes (Example: currently, for a HER2 FISH test, > we bill for 2 units of service--1 for the HER2 probe and 1 for the CEP17 > probe--both of which have to be enumerated by a professional and a ratio > generated). Any insight from others would be greatly appreciated....Thanks! > > > Jill A. Johns, MT(ASCP)SH, QCym, CCy > Manager of Molecular Pathology > Central PA Alliance Laboratory (CPAL) > 1803 Mt. Rose Ave., Suite C3/C4 > York, PA 17403 > phone: (717) 851-4320 > fax: (717) 851-1450 > email: jjoh...@cpallab.com<mailto:jjoh...@cpallab.com> > > > ________________________________ > CONFIDENTIALITY NOTICE: > > This email may contain confidential health information that is legally > privileged. This information is intended for the use of the named > recipient(s). The authorized recipient of this information is prohibited > from disclosing this information to any party unless required to do so by > law or regulation and is required to destroy the information after its > stated need has been fulfilled. If you are not the intended recipient, you > are hereby notified that any disclosure, copying, distribution, or action > taken in reliance on the contents of this email is strictly prohibited. If > you receive this e-mail message in error, please notify the sender > immediately to arrange disposition of the information.. > > ______________________________________________________________________ > This e-mail has been scanned by Verizon Managed Email Content Service, > using Skeptic(tm) technology powered by MessageLabs. For more information > on Verizon's Managed Email Content Service, visit > http://www.verizonbusiness.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