[Histonet] Billing Question

[Boyd, Debbie M via Histonet]

A couple scenarios:


1.   FNA with immediate interpretation ( adequacy)  and you make 4 
cytospins from the remaining material?

2.   Three more passes at the same site.  What codes are you using?

3.   What professional CPT codes are you generating.

Thanks.


Debbie M. Boyd l  Chief Histologist, Anatomic Pathology I Southside Regional 
Medical Center  I  200 Medical Park Blvd. I  Petersburg, Va.  23805 I PH: 
804-765-5025 I Fax: 804-765-6058



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Re: [Histonet] No More Blog Posts -- Over and Out!

[Boyd, Debbie M via Histonet]

I just feel if you didn't care for the subject/blog (doesn't pertain to you, 
you don't have any exposure to it etc. ) you could have deleted it without 
being so mean spirited.  I have in the past ignored the mean spirited sparring, 
but this was a bit much.
Whatever happened to kindness?
Just my two cents

Debbie M. Boyd HT (ASCP) | Chief Histologist  | Southside Regional Medical 
Center | 200 Medical Park Blvd.  |  Petersburg, Va.  23805 | PH 804-765-5025 | 
FAX 804-765-6058


From: Manfre, Philip via Histonet [histonet@lists.utsouthwestern.edu]
Sent: Monday, May 02, 2016 2:38 PM
To: Rene J Buesa
Cc: 'histonet@lists.utsouthwestern.edu'
Subject: [EXTERNAL] Re: [Histonet] No More Blog Posts --  Over and Out!

Delete button broken, huh.  I suppose it was necessary to attack a colleague to 
feel puffed up about yourself.  Bully for you!

-Original Message-
From: Rene J Buesa via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Monday, May 02, 2016 2:23 PM
To: Lester Raff MD; 'histonet@lists.utsouthwestern.edu'
Subject: Re: [Histonet] No More Blog Posts -- Over and Out!

Thank you VERY MUCH!René

On Monday, May 2, 2016 1:54 PM, Lester Raff MD via Histonet 
 wrote:


 To My Lab Colleagues:

As my intent has never been to sow discontent or rancor, I think it is for the 
best if I no longer post links to my blog, lab related or otherwise.  Of course 
the blogs go on, and if anyone is interested in being added to my mailing list 
for future notifications, just drop me a line at 
les.r...@post.com  The mailing list is never used for 
any purpose other than announcing a new blog post. Be sure to let me know you 
are from the Histonet list!

I will continue to participate in any histology/pathologist discussions here as 
I have for many years.

Cheers,

Lester J. Raff, MD MBA
UroPartners
Medical Director Of Laboratory
2225 Enterprise Dr. Suite 2511
Westchester, Il 60154
Tel: 708-486-0076
Fax: 708-492-0203

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Re: [Histonet] bone marrow clots

[Boyd, Debbie M via Histonet]

We use the syringe used for the smears and the syringe used for the aspirate.  
We do not put it in an anti-coagulate.  We simply let the syringe specimen clot 
and place it in lens paper in a cassette and place in 10% formalin for 
processing.  If you are doing Flow Cytometry/Cytogenetic studies you can use 
1ml for these studies and any left in this syringe can also be used for the 
aspirate/clot.  One of our pathologist will purposely get 2mls in the aspirate 
syringe.  One ml for Flow and Cyto (green top sodium heparinized tube) and the 
other for the clot.

Debbie M. Boyd HT (ASCP) | Chief Histologist  | Southside Regional Medical 
Center | 200 Medical Park Blvd.  |  Petersburg, Va.  23805 | PH 804-765-5025 | 
FAX 804-765-6058


From: Noelle Linke via Histonet [histonet@lists.utsouthwestern.edu]
Sent: Wednesday, March 23, 2016 7:27 PM
To: histonet@lists.utsouthwestern.edu
Subject: [EXTERNAL] [Histonet] bone marrow clots

Hi all,

Question: Does anyone produce beautiful, well fixed bone marrow clot blocks 
that has a procedure they would be willing to share?  Do you all use the 
specimen from the EDTA tube after prepping the smears?  Any help would be 
greatly appreciated!

Thank you,
Noëlle

Noëlle Linke, MS, HTL(ASCP) QIHC
Manager, Anatomic Pathology
Pacific Diagnostic Laboratories
nli...@sbch.org
Phone: (805) 324-9814
Fax: (805) 696-6433






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Re: [Histonet] Floor Choice Question, and blog post

[Boyd, Debbie M via Histonet]

There is a non-slip epoxy paint that is very durable.  There is also a textured 
flooring that is used in both histology labs and OR suites.   Neither is cheap 
but a lot less than legal repercussions.
We have the textured flooring in our lab.  Works great. A little harder to 
scrub, EVS uses a buffer and of course no wax.

Debbie M. Boyd HT (ASCP) | Chief Histologist  | Southside Regional Medical 
Center | 200 Medical Park Blvd.  |  Petersburg, Va.  23805 | PH 804-765-5025 | 
FAX 804-765-6058


From: Lester Raff MD via Histonet [histonet@lists.utsouthwestern.edu]
Sent: Monday, January 18, 2016 8:35 AM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [EXTERNAL] [Histonet] Floor Choice Question, and blog post

Good Morning from Frigid Chicago:

Our lab has the opportunity to do some badly needed painting, and also to make 
changes in the floor surfaces. We currently have vinyl in the clinical areas 
and carpeting in the offices. The carpeting will stay. Our decision is whether 
to swap out the vinyl or not. It is slippery, particularly for visitors coming 
from outside in the snow and sleet. We are working with the building management 
firm, but as of yet have not found a surface that is less slippery, but also is 
smooth enough to allow the maintenance people to scrape paraffin of the floor. 
Does anyone have any good flooring suggestions?

Also, what is the longest anyone has closed a lab for maintenance work?


In the vein of remodeling, a new blog post: 
http://www.chicagonow.com/downsize-maybe/2016/01/isnt-this-blog-supposed-to-be-about-building-a-house/

Lester J. Raff, MD MBA
UroPartners
Medical Director Of Laboratory
2225 Enterprise Dr. Suite 2511
Westchester, Il 60154
Tel: 708-486-0076
Fax: 708-492-0203

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Re: [Histonet] [EXTERNAL] Re: Staples and Sutures

[Boyd, Debbie M via Histonet]

Definitely the paths/PA's responsibility.  Putting it in the histotech's court 
is like saying the car is responsible for hitting the pedestrian (not the 
driver). Crazy. We sometimes can see them when embedding but by then the tissue 
is not as pliable for easy removal without disturbing the tissue architecture.  
Margins are destroyed by the time we get the suture out.  Ninety-nine percent 
of the time you can not find the knot to cut for removal.  
Staples can be embedded so deeply that they don't "shine" in reflective light.  
Only the blade finds them. If there is a whole line of them, the tissue is 
practically destroyed by pulling them out. 

Debbie M. Boyd HT (ASCP) | Chief Histologist  | Southside Regional Medical 
Center | 200 Medical Park Blvd.  |  Petersburg, Va.  23805 | PH 804-765-5025 | 
FAX 804-765-6058


From: Bob Richmond via Histonet [histonet@lists.utsouthwestern.edu]
Sent: Tuesday, September 29, 2015 8:47 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [EXTERNAL] Re: [Histonet] Staples and Sutures

Kenneth G Metzger HTL(ASCP), Histology Supervisor, ARUP Labs, Salt Lake
City, Utah asks:

>>Recently we have had a marked increase in staples and sutures in our
tissue that arrives for processing. I have tried to relay to our
pathologists and PA's the difficulty in cutting sections and the tissue
destruction in getting staples and sutures out once the tissue is processed
to paraffin. I was told by some of them that in their experience histology
should dealing with this issue. Though my own opinion is this is position
is not valid, I've been asked to collect opinions from other histology
departments if there are protocols that the grossing individual should be
removing the foreign object. Please give me any feedback...Thanks<<

What la-la land are your pathologists and PAs off in? I've caught plenty of
hell in my life in pathology since 1964 - particularly back before the days
of disposable blades - for not getting staples out of tissue before
submitting it. This is definitely the responsibility of whoever's doing the
grossing.

Bob Richmond
Samurai Pathologist
Maryville TN
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Re: [Histonet] Manual Cassette Labelling

[Boyd, Debbie M via Histonet]

We use KP Marker Plus from Mercedes Medical, www.mercedesmedical.com or 
1-800-331-2716.
Alcohol and Americlear resistant.  We do not use Xylene.

Debbie M. Boyd HT (ASCP) | Chief Histologist  | Southside Regional Medical 
Center | 200 Medical Park Blvd.  |  Petersburg, Va.  23805 | PH 804-765-5025 | 
FAX 804-765-6058


From: Ingles Claire via Histonet [histonet@lists.utsouthwestern.edu]
Sent: Thursday, August 06, 2015 4:50 PM
To: Joanne Clark; histonet@lists.utsouthwestern.edu
Subject: [EXTERNAL] Re: [Histonet] Manual Cassette Labelling

We use Secureline Marker II/superfrost Histoprep pens from Fisher. Their item # 
is 14-905-30 for black, 14-905-35 for red. We have never had a problem with 
them smearing or fading on the cassettes no matter what we subject them to.
Claire


From: Joanne Clark via Histonet [histonet@lists.utsouthwestern.edu]
Sent: Thursday, August 06, 2015 3:27 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Manual Cassette Labelling

Hi Histoland,

We have a satellite lab that manually prepares their cassettes.  We have had 
significant problems with the markers coming off after tissue processing.  We 
have tried StatLab markers, Leica Markers and the red AquaRellable pencils and 
continue to have issues.  Other than purchasing a cassette labeling system 
(their volumes are pretty low and there is limited bench space in the lab for a 
cassette labeler) does anyone have any suggestions or ideas on what might be 
causing this phenomenon or a really good permanent lab marker that has been 
successful for you?

Joanne Clark, BAAS, HT(ASCP)CM
Director of Histology

P.   (575) 622-5600
C.   (575) 317-6403
F.   (575) 622-3720
TF. (800) 753-7284

pcnm.com




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