[Histonet] Cryostat to room temperature

[Moe, Barbi A via Histonet]

Does anyone know how long it would take a cryostat that is maintained at 
approx. -22 degrees C  to come to room temperature after being turned off?

Any thoughts are appreciated.

Barb Moe
Histology Lab
Gundersen Health Systems
La Crosse WI
ba...@gundersenhealth.org

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[Histonet] DAKO Artisan special stain kit validations

[Moe, Barbi A via Histonet]

For those that are using the DAKO Artisan for special stains could you comment 
on how you are handling implementing new kits?

When a new lot number on a kit is received do you run a positive AND negative 
control either prior to use or concurrent with a patient case?

Any thoughts are appreciated.

Barb Moe
Histology Lab
Gundersen Health System
La Crosse WI
ba...@gundersenhealth.org
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[Histonet] PPE for frozen sections

[Moe, Barbi A via Histonet]

Could anyone share what PPE you are required to wear when performing a frozen 
section?

If doing a frozen section on a piece of lung or mediastinal nodes are you 
required to wear a respirator such as N95 or even a PAP-R?

Any thoughts are appreciated.

Barb Moe
Histology Lab
Gundersen Health Systems
La Crosse WI
ba...@gundersenhealth.org
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Re: [Histonet] CPT Code 88172

[Victoria Baker via Histonet]

Hi,

I just referred back to my sometimes frustrating clear as mud 2019 CPT
coding binder.
88172 is not saying that it has to be done by a pathologist.  In many cases
it is completed by a Cytotechnologist.
The precise wording says
"Cytopathology, evaluation of fine needle aspirate; immediate
cytohistologic study to determine adequacy for diagnosis, first evaluation
episode each site
The professional code comes in on 88173 where it involves the
interpretation and report.

The stance that it is a tech component comes from the
Cytologist/pathologist obtaining the specimen.  However they are
responsible for the adequacy of of the specimen.  The argument goes both
ways.

At this institution we use it as a professional code only.

Vikki

On Wed, Sep 4, 2019, 11:43 AM Knutson, Deanne via Histonet <
histonet@lists.utsouthwestern.edu> wrote:

> Hello Histonetters!
>
> I am wondering how others may be using the cpt code 88172-T?  Like in what
> type of scenarios?
>
> Thank you for your responses.
>
> Deanne Knutson
> Supervisor
> Anatomic Pathology
> dknut...@primecare.org
>
>
>
>
>
>
>   
> This email may include confidential and privileged information. If this is
> not intended for your use, please destroy immediately and contact the
> sender of the message.
>
> This email and attachments contain information that may be confidential or
> privileged. If you are not the intended recipient, notify the sender at
> once and delete this message completely from your information system.
> Further use, disclosure, or copying of information contained in this email
> is not authorized, and any such action should not be construed as a waiver
> of privilege or other confidentiality protections.
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Re: [Histonet] CPT Code 88172

[Joe W. Walker, Jr. via Histonet]

Hi Thomas,

What is your reference source for stating this is "a physician code"?  In 
reviewing our coding data, this code carries a facilities component in addition 
to a professional component.  I agree that a pathologist must perform the 
review in order to bill for both, but I am aware of people in New England who 
bill just the TC when a technologist provides the adequacy interpretation and 
some payers cover this charge.

Joe W. Walker, Jr. MS, SCT(ASCP)
Anatomical Pathology Manager
joewal...@rrmc.org, www.rrmc.org

-Original Message-
From: Webster, Thomas S. via Histonet 
Sent: Wednesday, September 4, 2019 1:31 PM
To: 'histonet@lists.utsouthwestern.edu' 
Subject: Re: [Histonet] CPT Code 88172

[External Email] This email originated from outside of the organization. Think 
before you click: Don’t click on links, open attachments or respond to requests 
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the sender.


You can only bill for 88172 if the pathologist looks at the FNA slide(s) during 
the procedure.  Otherwise do not attempt to bill for it.  It is a physician 
code.


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Columbus, Indiana 47201
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Re: [Histonet] CPT Code 88172

[Webster, Thomas S. via Histonet]

You can only bill for 88172 if the pathologist looks at the FNA slide(s) during 
the procedure.  Otherwise do not attempt to bill for it.  It is a physician 
code.


CONFIDENTIALITY NOTICE:
This e-mail message, including all attachments, is for the sole use of the
intended recipient(s) and may contain confidential and privileged
information. You may NOT use, disclose, copy or disseminate this
information.  If you are not the intended recipient, please contact the
sender by reply e-mail immediately.  Please destroy all copies of the
original message and all attachments. Your cooperation is greatly
appreciated.
Columbus Regional Hospital
2400 East 17th Street
Columbus, Indiana 47201
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Re: [Histonet] CPT Code 88172

[Joe W. Walker, Jr. via Histonet]

Hi Deanne,

We utilize the 88172-TC to capture the work that our cytotechs put into 
assisting with the FNA procedures.  This covers them making slides, staining 
them and triaging the specimen for any ancillary testing that might be needed.  
The CPT code manual states, " Cytopathology, evaluation of fine needle 
aspirate; immediate cytohistologic study to determine adequacy for diagnosis, 
first evaluation episode, each site".  This code is used in conjunction with 
the 88177, which is for additional passes at the same site.  Keep in mind that 
these codes are also accompanied by 88173, which is defined as " Cytopathology, 
evaluation of fine needle aspirate; interpretation and report".  If a 
pathologist was not present to provide the immediate read for adequacy, then 
you may run into difficulties charging the TC for the 88172 and 88177 depending 
on the payer.

Does this help?

Joe W. Walker, Jr. MS, SCT(ASCP)
Anatomical Pathology Manager
joewal...@rrmc.org, www.rrmc.org

-Original Message-
From: Knutson, Deanne via Histonet 
Sent: Wednesday, September 4, 2019 11:39 AM
To: 'histonet@lists.utsouthwestern.edu' 
Subject: [Histonet] CPT Code 88172

[External Email] This email originated from outside of the organization. Think 
before you click: Don’t click on links, open attachments or respond to requests 
for sensitive information if the email looks suspicious or you don’t recognize 
the sender.


Hello Histonetters!

I am wondering how others may be using the cpt code 88172-T?  Like in what type 
of scenarios?

Thank you for your responses.

Deanne Knutson
Supervisor
Anatomic Pathology
dknut...@primecare.org






  
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[Histonet] CPT Code 88172

[Knutson, Deanne via Histonet]

Hello Histonetters!

I am wondering how others may be using the cpt code 88172-T?  Like in what type 
of scenarios?

Thank you for your responses.

Deanne Knutson
Supervisor
Anatomic Pathology
dknut...@primecare.org






  
This email may include confidential and privileged information. If this is not 
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message.

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