Hi Sarah, Joyce is correct, under medicare changes in pathology coding, you can not bill for each of the blocks of the same antibody applications, only one charge per specific antibody mentioned in the pathology report is allowable. Medicare immuno billing is per "specimen" only for each specific antibody used, example if you used s100 for the same specimen (wide melanoma excision)on 15 different blocks, under medicare you can only bill one GO461, yes- not fair when the need is appropriate,
I must voice my opinio)- this probably will lower some of the over utilization and inappropriate billing practices that many of us have seen in the immunohistochemistry world and the labs that have capitalized on the practice, the problem with the lower reimbursements and change in medicare coding hurts many of our labs who have used the utilization of immunohistochemistry appropriately. However, "under current 2014" CPT coding on non medicare can you bill for the additional work per block using the 88342 and 88343 cpt code, I am sure moving forward we are going to continue to see adjustments to the pathology coding processes! Michael R. LaFriniere, HT (ASCP) Executive Director Capital Choice Pathology Laboratory 12041 Bournefield Way, Suite A * Silver Spring, MD 20904 P: 240.471.3427 * F: 240.471.3401 * Cell 410-940-8844 michael.lafrini...@ccplab.com -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K. Sent: Monday, May 19, 2014 12:21 PM To: 'sarah.dys...@stdavids.com'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Billing No - one G0461. If you had AE1/AE3, Melan A, S100 you would charge G0461 x 1 and G0462 x 2. j Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital 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. -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of sarah.dys...@stdavids.com Sent: Monday, May 19, 2014 12:00 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing When it comes to the medicare codes...question... So you have one specimen that has 10 blocks. AE1/AE3 is ordered on all 10 blocks. Can you bill AE1/AE3 1st Antibody once (G0461), then AE1/AE3 Additional (G0462) nine times? Thanks, Sarah E. Dysart, BA, HT (ASCP), QIHC (ASCP) Pathology Supervisor St. David's North Austin Medical Center 12221 North Mopac Expressway Austin, Texas 78758 (512)901-1220 _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ________________________________ This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). _______________________________________________ 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