RE: [Histonet] Re: Histonet Digest, Vol 83, Issue 20
Joyce, THANK YOU for the link! :o) Now I wonder, if this is over a year old, is the the first time it's been seen on Histonet, or did I just miss this important update? This is really going to help the widget count in my lab! My paths frequently want to test more than one block on their tumor cases and now I can charge for them! :o) Michelle -Original Message- From: Weems, Joyce [mailto:jwe...@sjha.org] Sent: Friday, October 15, 2010 10:45 AM To: histot...@imagesbyhopper.com Cc: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Re: Histonet Digest, Vol 83, Issue 20 http://www.flpath.org/rli2.asp Here is a link that will help.. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of histot...@imagesbyhopper.com Sent: Friday, October 15, 2010 09:59 To: Weems, Joyce Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Re: Histonet Digest, Vol 83, Issue 20 Can you please provide the specific CMS update number? The website doesn't seem to be too user friendly ... thanks! On Oct 14, 2010, at 12:22 PM, Weems, Joyce jwe...@sjha.org wrote: CMS/NCCI Update Dated October 1, 2009 8. The unit of service for special stains (CPT codes 88312-88313) and immunohistochemistry (CPT codes 88342, 88360, 88361) is each stain. If it is medically reasonable and necessary to perform the same stain on more than one specimen or more than one block of tissue from the same specimen, additional units of service may be reported for the additional specimen(s) or block(s). Physicians should not report more than one unit of service for a stain performed on a single tissue block. For example it is common practice to cut multiple levels from a tissue block and stain each level with the same stain. The multiple levels from the same block of tissue stained with the same stain should not be reported as additional units of service. Only one unit of service should be reported for the stain on multiple levels from the single tissue block. Additionally, controls performed with special stains should not be reported as separate units of service for the stain. -Original Message- From: Mike Pence [mailto:mpe...@grhs.net] Sent: Thursday, October 14, 2010 11:31 To: Weems, Joyce; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Re: Histonet Digest, Vol 83, Issue 20 Can you site your source, please. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce Sent: Thursday, October 14, 2010 10:25 AM To: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Re: Histonet Digest, Vol 83, Issue 20 The change is that you can bill per block now and not per specimen. This is for immunos and special stains. It does make a huge difference! Best, Joyce Weems Pathology Manager Saint Joseph's Hospital 5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342 678-843-7376 - Phone 678-843-7831 - Fax -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Chris Evanish Sent: Thursday, October 14, 2010 11:10 To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Re: Histonet Digest, Vol 83, Issue 20 Has anyone heard of a cpt coding change that allows us to bill 88342 per slide run instead of per antibody? One of our Pathologist was at a conference and was told that we could do that. It makes a big difference with running cytokeratins on multiple blocks and levels of sentinel nodes. Thanks, Chris Evanish Montgomery Hospital Norristown PA Chris D. Evanish Histology Supervisor Montgomery Hospital 610-270-2379 Please consider the environment before printing this email to your outgoing mail. Confidentiality Notice: This e-mail, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Confidentiality Notice: This e-mail, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email.
[Histonet] AFB
Amy - The AFB (Ziehl-Neelsen, Kinyoun's, etc) will stain any acid-fast bacteria. The Fite's stain is usually considered specific for mycobacteria. Cheryl ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] IHC FILD
it depends on who you are working with, it would be a requirement to work for me since i specialize in IHC, but other employers may not value it as much, in any case as Mark said, it is investing in yourself. From: Langenberg, Stacey stacey.langenb...@ucdenver.edu Sent: Friday, October 15, 2010 1:29 PM To: Mark Turner scorpionri...@cox.net, histonet-boun...@lists.utsouthwestern.edu histonet-boun...@lists.utsouthwestern.edu, Debora Probst debora.pro...@crhs.net, histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] IHC FILD Well said Mark! Sent via BlackBerry from T-Mobile -Original Message- From: Mark Turner Sender: histonet-boun...@lists.utsouthwestern.edu Date: Fri, 15 Oct 2010 12:46:59 To: Debora Probst; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] IHC FILD Since it wasn't a requirement for my position, I took the exam for my own personal satisfaction. I highly recommend taking it if you have the chance and not worrying about whether you will receive extra money. Successfully passing the exam is a personal milestone and may not be recognized by your current employer, however it just might make a future one consider investing a little stronger in you because you have invested in yourself. Good luck! Mark Turner Debora Probst wrote: Can anyone tell me if once you have taken the IHC certification test and passed dose the administration consider that a specialty field and give you a pay increase? Or is it just for a persons own gratification to take it and pass? ___ 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 ___ 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
RE: [Histonet] negative controls
I run both positive and negative controls. Wherever possible, I put the positive control on the same slide as the test patient (this makes it easier for the pathologist and it also saves us the cost of on slide being tested). I always run a negative patient control on the exact same run. If I have more slides than will fit on one run, I will hold the specific case back, as I won't separate them. Matters not if there is more than one machine, the case will stay together. As far as negatives, I will run an extra negative if my run has both poly and mono antibodies. So, there are many times, I have two negatives running per case. I run only one detection system, so I don't have that variable to deal with. Michelle -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kuhnla, Melissa Sent: Friday, October 15, 2010 12:50 PM To: Victoria Baker; Histo Net list server Subject: RE: [Histonet] negative controls Hi Vikki, I have 1 Ventana XT and 3 Ultras. I have certain antibodies designated to each ultra. This means not all slides from any case are guaranteed to be on the same machine. They obviously all have their own detection kit. My theory is that our detection kits are QCd prior to initial load onto an instrument. The patient block was treated the same prior to cutting. The slides receive solutions that are QCd...I think we are covered. What are your thoughts? Melissa -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victoria Baker Sent: Friday, October 15, 2010 10:26 AM To: Histo Net list server Subject: [Histonet] negative controls Hi I have a hypothetical question to those who run IHC on Ventana instruments. Are you running your negatives with your patient/test cases or on a separate run? Also, if you are doing this and have to use a different detection kit how do you work the QA/QC portion of this for CAP requirements. Thanks Vikki ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet The information in this e-mail, and any attachments therein, is confidential and for use by the intended addressee only. If this message is received by you in error please do not disseminate or read further. Please reply to the sender that you have received the message in error, then delete the message. Although Catholic Health Services of Long Island attempts to sweep e-mail and attachments for viruses, it does not guarantee that either are virus-free and accepts no liability for any damage sustained as a result of viruses. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.448 / Virus Database: 271.1.1/3183 - Release Date: 10/13/10 18:34:00 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Microsporidia
Dear Friends, Can anyone tell me how to demonstrate Micrsporidia in Deudenal biopsy.For me the modified Brown and bren gram is not working.if u have any other method pls let me know. with regrads, Aazath ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
