I can only speak to IHC billing. My staff (now 2 people) in our IHC Lab does
all the technical IHC billing manually. We average about 3,500 billable IHC
tests per month now. The volume used to be higher, but our healthcare system
sold most of our outreach business.
Richard
Richard W.
Vicki,
My first question is what computer/LIS system are you using? Are you a private
lab or part of a hospital? We are in an academic medical center, have our own
Pathology coders, but all billing is done by the hospital. We generate the
information for the technical and pro charges and send
Breast for margins is an 88307.
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
Correct
On May 29, 2015, at 3:13 PM, Vickroy, James jvick...@springfieldclinic.com
wrote:
Just need a reminder:
If a pathologist orders the same several IHC stains on two blocks from the
same specimen am I correct to think that we can only charge the stains on one
of the blocks?
Yes that is how we do it as well.
Martha Ward, MT (ASCP) QIHC
Manager
Molecular Diagnostics Lab
Medical Center Boulevard \ Winston-Salem, NC 27157
p 336.716.2109 \ f 336.716.5890
mw...@wakehealth.edu
-Original Message-
From: Vickroy, James
From my understanding its just one charge. Its per specimen such as A, B, C,
etc. Someone else said that it would be 2 charges so am I wrong on this?? If
you did GMS on A1 and AFB on A2 then that would be 2 charges because its two
different stains.
Tasha Campbell, B.S.,HTL(ASCP)
: Campbell, Tasha M. [mailto:tmcam...@fmh.org]
Sent: Friday, May 08, 2015 7:51 AM
To: Vickroy, James; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Billing question
From my understanding its just one charge. Its per specimen such as A, B, C,
etc. Someone else said that it would be 2
To: Vickroy, James; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Billing question
From my understanding its just one charge. Its per specimen such as A, B, C,
etc. Someone else said that it would be 2 charges so am I wrong on this?? If
you did GMS on A1 and AFB on A2 then that would
2 - specials are per block..
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
That's correct, Hazel.
Daniel Schneider, MD
Amarillo, TX
On Thu, Jan 22, 2015 at 3:14 PM, Horn, Hazel V hor...@archildrens.org
wrote:
Scenario: I am billing for immunostains and there are 3 specimens; A, B, C.
Pathologist orders 1 stain on all 3 specimens. I bill 3 88342's.
Pathologist
Professional only
Ed Gray | Pathology IT Analyst | Phone: 304-293-2945 | Fax 304-293-1627 | WVU
Healthcare l eg...@wvuhealthcare.com
Confidentiality Notice: This e-mail message, including any attachments, is for
the sole use of the intended recipient(s) and may contain confidential and
At our institution the hospital bills the technical and the pathologist bills
the professional.
Martha Ward, MT (ASCP) QIHC
Manager
Molecular Diagnostics Lab
Medical Center Boulevard \ Winston-Salem, NC 27157
p 336.716.2109 \ f 336.716.5890
mw...@wakehealth.edu
-Original
Hospital bills technical and pathologists bill professional
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
Hospital bills the technical and pathologists bill the professional.
Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
Good Afternoon to All,
At our hospital, for hospital inpatients and outpatients the Pathologist bill
for their professional fee and the hospital bills the patients for the
technical component. For non-patient specimens (patients seen at other offices
and facilities), the Pathologist bills the
-boun...@lists.utsouthwestern.edu] On Behalf Of Roger
Heyna
Sent: Monday, March 18, 2013 1:11 PM
To: Angela K. Bitting; histonet@lists.utsouthwestern.edu; Vanessa Perez
Subject: RE: [Histonet] Billing for Pin 4 Cocktail
Our billing manager said the same thing. If the antibodies are being
applied
; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Billing for Pin 4 Cocktail
I was given info from a Dako rep last week that if the primary antibodies are
applied separately to the slide as is true with Ventana instruments, you can
charge for both. I am skeptical. Has anyone else heard
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vanessa Perez
Sent: Friday, March 15, 2013 12:43 PM
To: histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Billing for Pin 4 Cocktail
Its actually not allowed already. Any cocktail where all stains are done at
one time on one
...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vanessa Perez
Sent: Friday, March 15, 2013 12:43 PM
To: histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Billing for Pin 4 Cocktail
Its actually not allowed already. Any cocktail where all stains are done
Our lab currently bills for three, and I know of other labs in our area that
also bill for three. I have heard rumors that this may not be allowed in the
near future.
Roger Heyna
Maywood, IL
Debbie Granato debgran...@yahoo.com 3/15/2013 11:00 AM
We have a billing question for the PIN4
...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Roger Heyna
Sent: Friday, March 15, 2013 11:09 AM
To: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Billing for Pin 4 Cocktail
Our lab currently bills for three, and I know of other labs in our area that
also bill
I am neither a lawyer nor a health care administrator, but, in my
experience, the Pathologist picks the (hopefully) most diagnostic blocks
from the multiblock cases and submits them for IHC. If you do the
requested IHC on, say, 4 blocks out of 30, you charge x4 for the technical
fee. After
To: Victor A. Tobias vtob...@uw.edu
Cc: HISTONET histonet@lists.utsouthwestern.edu
Sent: Tuesday, July 3, 2012 12:05 PM
Subject: Re: [Histonet] Billing 88342
I am neither a lawyer nor a health care administrator, but, in my
experience, the Pathologist picks the (hopefully) most diagnostic
That is so true.!
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Paula Pierce
Sent: Tuesday, July 03, 2012 1:36 PM
To: Jay Lundgren; Victor A. Tobias
Cc: HISTONET
Subject: Re: [Histonet] Billing 88342
I would think that if you're billing the client and not the insurance that
you could charge per block for the technical. After all you're just
providing the stain to them. In my opinion, the client should eat this
cost. I would let the client know that you'd be billing this way before
staining
...@yahoo.com
Cc: Carol Torrence ctorre...@kmcpa.com; histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu; 'Ingles Claire' cing...@uwhealth.org
Sent: Tuesday, June 19, 2012 9:45 PM
Subject: Re: [Histonet] Billing IHC on MOHS
Well, I don't know if that settles that.
I haven't
I have nothing more to add regarding this subject but would like to address
concerns expressed here that touch on fairness, frequency, cost and the
abilities of techs and surgeons.
This was a very rare incident involving scar tissue and tumor. Our Mohs lab
does not do immunos, our
Carol,
Its nice to hear this isn't a regular thing. In reading your original
question, it sounded like you were excited to be charging five times for
those immunos and you were ready to argue for it. Apparently that was not
the case, you wanted more information and thoughts on the subject.
I
The following is the response I recived from a coding specialist at the
American Academy of Dermatology. I am trying not to be concerned that the
reference is 6 years old but I think it clears up what we thought to be true.
88342 for IHC
88314 other “special stains”
Here is the description
; histonet@lists.utsouthwestern.edu
Sent: Tuesday, June 19, 2012 2:10 PM
Subject: RE: [Histonet] Billing IHC on MOHS
The following is the response I recived from a coding specialist at the
American Academy of Dermatology. I am trying not to be concerned that the
reference is 6 years old but I
Cc: 'Weems, Joyce K.' joyce.we...@emoryhealthcare.org; 'Ingles Claire'
cing...@uwhealth.org; histonet@lists.utsouthwestern.edu
Sent: Tuesday, June 19, 2012 2:10 PM
Subject: RE: [Histonet] Billing IHC on MOHS
The following is the response I recived from a coding specialist
Torrence
Cc: Weems, Joyce K.; Ingles Claire; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Billing IHC on MOHS
I'd be very careful with this. Histochemical even if it's on frozen section
such as 88314 does not mean immunohistochemical which is 88342 to my
understanding. To my understanding
Claire'
cing...@uwhealth.org; histonet@lists.utsouthwestern.edu
Sent: Monday, June 18, 2012 5:23 PM
Subject: RE: [Histonet] Billing IHC on MOHS
Thanks everyone.
I quoted the description straight from the PMIC coding manual. It is for
use with 17311-17315, 88302-88309, 33221, and 88332. I
Kim,
You are too funny! It must be controversial if only three of us are talking
about it and lots of people are 'doing it'. ha!
That is funny about the $20. or not. I was only familiar with 88342 also
until I started reading in the MOHS section of said CPT book. As I read it
again,
Oh I'm hooked. I have got to know the answer now lol we shall conquer this
problem with your help and then we will all know once and for all. :)
Thank you
Sent from my iPhone
On Jun 18, 2012, at 6:29 PM, Carol Torrence ctorre...@kmcpa.com wrote:
Kim,
You are too funny! It must be
I'd be very careful with this. Histochemical even if it's on frozen section
such as 88314 does not mean immunohistochemical which is 88342 to my
understanding. To my understanding anytime you use a antibody it's a 88342
code. Now as far as being able to code for each margin say from 3-6 or 6-9
email.
-Original Message-
From: Ingles Claire [mailto:cing...@uwhealth.org]
Sent: Thursday, June 14, 2012 3:33 PM
To: Weems, Joyce K.; Carol Torrence; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Billing IHC on MOHS
Is this per Specimen or per surgical site. Mohs specimens
Thanks. I agree. Maybe we will hear from some derm labs today. My doctor
wants to play it safe and charge once but that sure doesn't come close to
covering costs of staining 5 slides, all different sites of the same lesion.
It sounds like we can all argue both sides of the fence.
Carol M.
By George I've got it! This is what I read from Coder's Choice CPT Plus
88314 is for IHC performed on frozen tissue...when a nonroutine
histochemical stain on frozen tissue during Mohs surgery is utilized, report
88314 with modifier 59. Report one unit of 88314 for each special stain on
each
@lists.utsouthwestern.edu
Subject: RE: [Histonet] Billing IHC on MOHS
By George I've got it! This is what I read from Coder's Choice CPT Plus
88314 is for IHC performed on frozen tissue...when a nonroutine
histochemical stain on frozen tissue during Mohs surgery is utilized, report
88314
@lists.utsouthwestern.edu
Subject: RE: [Histonet] Billing IHC on MOHS
By George I've got it! This is what I read from Coder's Choice CPT Plus
88314 is for IHC performed on frozen tissue...when a nonroutine
histochemical stain on frozen tissue during Mohs surgery is utilized, report
88314 with modifier 59
If each location is identified as a separate specimen, you can bill per
specimen, is the way I understand it.
e.g.
Received separately - 88342 x 4
3:00 margin - A
6:00 margin - B
9:00 margin - C
12:00 margin - D
If one specimen is received and divided into separate cassettes - 88342 x 1
A1 -
: histonet-boun...@lists.utsouthwestern.edu on behalf of Weems, Joyce K.
Sent: Thu 6/14/2012 2:20 PM
To: 'Carol Torrence'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Billing IHC on MOHS
If each location is identified as a separate specimen, you can bill per
specimen, is the way I
Hey Joyce,
My understanding has always been that if the pathologist specifically
mentions the stain in the report, then it's OK to charge all the fees.
However, if the pathologist chooses to leave any mention of the stain/immuno
in the report, then you can't bill for it. So if the pathologist
Columbus OH 43205
(614) 722 5450
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Drew Meyer
Sent: Thursday, January 06, 2011 12:40 PM
To: Weems, Joyce
Cc: Histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet
My understanding is: Inked margins (on any specimen type) are 88307.
Doesn't specify who inks the margin.
Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical
Center I
200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F:
804-765-5582 l
We have a contract with the hospitals, this comes from our billing manger.
We bill the hospitals, then they bill the patient.
Cindy Pyse, CLT, HT (ASCP)
Histology Supervisor
X-Cell Laboratories
e-mail cp...@x-celllab.com
-Original Message-
From:
: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cynthia
Pyse
Sent: Friday, July 02, 2010 1:52 PM
To: 'Sara Baldwin/mhhcc.org'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] BILLING QUESTION
We have a contract with the hospitals
Each separately submitted jar with a specified location is coded as
88305, regardless of the number of cores in the jar. An exception is for
saturation biopsies (ultrasound guided template needle biopsies) that
are coded using 4 specific G codes, depending on total number of cores.
Lester J.
I've never done a HE on cytology just a Pap stain and Diff Quik. The
stain charge, however is determined by the preparation technique (a smear
or cytospin concentration preparation). The cytospin prep (Non Gyn) is
88108: the smear (NonGyn) is 88104.
Debbie M. Boyd, HT(ASCP) l Chief
It is my understand that , Yes you can bill as long as the ASR
disclaimer is on the report and you heave validation of such antibodies
that do did not have FDA approvals yet
Michael LaFriniere
On 12/9/2008 at 12:53:16 PM, Rene J Buesa [EMAIL PROTECTED]
wrote:
As your pathologists first
As your pathologists first because even when we charged for IHC to the
patients, there was always a disclaimer saying that the Ab was for research, in
spite of which, the charges were done (they are essentially for the pathologist
interpretation).Hope this will help you.
René J.
--- On Tue,
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