RE: [Histonet] (no subject)

2014-05-30 Thread Anne Murvosh
I just got back from the Mohs conference.  The Biocare people have the stain 
and told me they would come out to help work it up. Anne

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bethany
Sent: Thursday, May 29, 2014 1:23 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] (no subject)

The doctor I work for wants to use Mart 1 staining for Mohs on melanoma cases.
Any information on where to start? What equipment do we need? Where do we 
acquire the stains/antibodies, etc?
thx
Bethany
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[Histonet] Is there a Pathology billing hotline?

2014-05-30 Thread Jennifer Johnson
Today we received one container labelled 'sentinel nodes' for frozen section. 
There were five nodes and they were placed in two chucks. How in the heck are 
we to know how to code for charges for this?  Is it per container, per node, or 
per frozen?  Plus, is there a person or agency that you can call to ask these 
questions?
Thanks, Jennifer Johnson

Sent from Jenny's iPhone
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RE: [Histonet] Is there a Pathology billing hotline?

2014-05-30 Thread Weems, Joyce K.
This would be one specimen, since the nodes were not separately identified.  
You would charge an 88331 for the first block and 88332 for the second block.

(To the best of my knowledge!!)

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jennifer Johnson
Sent: Friday, May 30, 2014 11:17 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Is there a Pathology billing hotline?

Today we received one container labelled 'sentinel nodes' for frozen section. 
There were five nodes and they were placed in two chucks. How in the heck are 
we to know how to code for charges for this?  Is it per container, per node, or 
per frozen?  Plus, is there a person or agency that you can call to ask these 
questions?
Thanks, Jennifer Johnson

Sent from Jenny's iPhone
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[Histonet] RE: Path Billing hotline

2014-05-30 Thread Terri Braud
Don't forget to add the 88307 charge for the specimen to the frozen
charges (88331, 88332)

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Holy Redeemer Hospital Laboratory
1648 Huntingdon Pike
Meadowbrook, PA 19046
Ph: 215-938-3676
Fax: 215-938-3874

Today's Topics:
   5. Is there a Pathology billing hotline? (Jennifer Johnson)
   6. RE: Is there a Pathology billing hotline? (Weems, Joyce K.)

Message: 5
Date: Fri, 30 May 2014 11:17:25 -0400
From: Jennifer Johnson jmjohnso...@hotmail.com
Subject: [Histonet] Is there a Pathology billing hotline?

Today we received one container labelled 'sentinel nodes' for frozen
section. There were five nodes and they were placed in two chucks. How
in the heck are we to know how to code for charges for this?  Is it per
container, per node, or per frozen?  Plus, is there a person or agency
that you can call to ask these questions?
Thanks, Jennifer Johnson

Sent from Jenny's iPhone


--

Message: 6
Date: Fri, 30 May 2014 15:44:54 +
From: Weems, Joyce K. joyce.we...@emoryhealthcare.org
Subject: RE: [Histonet] Is there a Pathology billing hotline?
This would be one specimen, since the nodes were not separately
identified.  You would charge an 88331 for the first block and 88332 for
the second block.

(To the best of my knowledge!!)

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org
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[Histonet] Re: Is there a Pathology billing hotline?

2014-05-30 Thread Bob Richmond
Jennifer Johnson asks:

Today we received one container labelled 'sentinel nodes' for frozen
section. There were five nodes and they were placed in two chucks. How in
the heck are we to know how to code for charges for this?  Is it per
container, per node, or per frozen?  Plus, is there a person or agency that
you can call to ask these questions?

and Joyce Weems replies:

This would be one specimen, [if] the nodes were not separately
identified. You would charge an 88331 for the first block and 88332 for the
second block.

If the lymph nodes were separately identified, say, sentinel node #1
through sentinel node #5 then if you separated them from each other (say
by marking them with different colored inks) then you could bill for five
specimens, five frozen section codes 88331 and five specimen codes 88305.
The final pathology report would have to identify them, say,
1. left axillary lymph node (sentinel node biopsy #1): Reactive
hyperplasia. No malignant tumor identified.
2. - and so on through 5.

Parenthetically, you shouldn't be doing frozen sections on grossly negative
sentinel lymph nodes - it loses too much tissue. Touch preparations suffice.

I don't know of any hot line for problems like this. Most of them are
covered in the CAP Web site resource on the subject, if you can find it.
It's quite chaotic, and it's worth reading it through and abstracting it on
a slow day. These adjudications - which unfortunately are no longer done -
are considered authoritative by the authorities. Here you read, for
example, that a twin placenta is two codes 88307 iff you can identify cord
A and cord B (doesn't matter how the identification is done).

Bob Richmond
Samurai Pathologist
Maryville TN
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