[Histonet] RE: IHC billing question
Ouch! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cartun, Richard Sent: Thursday, April 30, 2015 4:34 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] IHC billing question Effective January 1, 2015, our LIS team removed all of the CPT 88342 codes for IHC from our CoPath stain dictionary since you couldn't tell whether a Cytokeratin-7 was being performed as an 88341 or as an 88342. Now, as you might have expected, none of the inpatient IHC testing has been accounted for (the outpatient IHC has been billed manually from the pathology report), and they want someone to go back and enter all the CPT codes into the system (hopefully, not me!). Has anyone else encountered this problem? Thanks (I think). Richard Richard W. Cartun, MS, PhD Director, Histology Immunopathology Director, Biospecimen Collection Programs Assistant Director, Anatomic Pathology Hartford Hospital 80 Seymour Street Hartford, CT 06102 (860) 972-1596 (860) 545-2204 Fax This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, or an employee or agent responsible for delivering the message to the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message, including any 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
RE: [Histonet] RE: IHC Billing Question
No charge to patient account for negative or positive controls. Only the patient test (s). The controls verify that the test ran accurately, and for interpretation. You just have to figure this into your cost/test. As many have already posted in this string it is why many labs aside from QC reasons, have adopted the single slide for postive/patient and have also eliminated negatives when polymer detection is used. Joelle Weaver MAOM, HTL (ASCP) QIHC From: mw...@wakehealth.edu To: bburn...@capecodhealth.org; jmore...@sidra.org; histonet@lists.utsouthwestern.edu Date: Thu, 16 Apr 2015 14:35:59 + CC: Subject: [Histonet] RE: IHC Billing Question We have not been charging for the negative control, assuming that it was just a cost of doing business. I would be interested to hear if anyone has been charging for their negative controls 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: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Burnett, Brandy Sent: Thursday, April 16, 2015 9:48 AM To: 'Joana Moreira'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: IHC Billing Question We recently added HER2 IHC testing in our lab which we are required to use a negative reagent control For each case. Is there a cpt code for negative reagent control reimbursement? Any information on this Would be much appreciated! Thanks Brandy Burnett Histotechnoligist, QIHC(ASCP) CCH Pathology/Histology Expert physicians. Quality hospitals. Superior care. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joana Moreira Sent: Thursday, April 16, 2015 7:25 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] IHC Billing Question Greetings from Doha! This was much probably discussed before, but I was wondering if you could help me with a query in regards to billing. For the sites that are still doing an IHC negative reagent control for each patient specimen, do you bill for the negative control? Using code 88341? I believe it should be billed (since when and if performed correctly the negative control follows a normal IHC technique) however I am completely new to the billing subject. My previous experience is based in Portugal and UK (where billing does not exist) and I've been introduced to this topic since I joined my current institution that will be following the North American Healthcare model. So... any help will be GREATLY appreciated!! Many Thanks in advance, Joana Joana Moreira Supervisor - Anatomical Pathology Department of Pathology Sidra Medical Research Center PO Box 26999 | Doha, Qatar Direct Line +974-4404-2036 jmore...@sidra.org | www.sidra.org Disclaimer: This email and its attachments may be confidential and are intended solely for the use of the individual to whom it is addressed. If you are not the intended recipient, any reading, printing, storage, disclosure, copying or any other action taken in respect of this e-mail is prohibited and may be unlawful. If you are not the intended recipient, please notify the sender immediately by using the reply function and then permanently delete what you have received. Any views or opinions expressed are solely those of the author and do not necessarily represent those of Sidra Medical and Research Center. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ~~ This email and any files transmitted with it are confidential, and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error contact the Help Desk for Cape Cod Healthcare. helpd...@capecodhealth.org ___ 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: IHC Billing Question
We recently added HER2 IHC testing in our lab which we are required to use a negative reagent control For each case. Is there a cpt code for negative reagent control reimbursement? Any information on this Would be much appreciated! Thanks Brandy Burnett Histotechnoligist, QIHC(ASCP) CCH Pathology/Histology Expert physicians. Quality hospitals. Superior care. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joana Moreira Sent: Thursday, April 16, 2015 7:25 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] IHC Billing Question Greetings from Doha! This was much probably discussed before, but I was wondering if you could help me with a query in regards to billing. For the sites that are still doing an IHC negative reagent control for each patient specimen, do you bill for the negative control? Using code 88341? I believe it should be billed (since when and if performed correctly the negative control follows a normal IHC technique) however I am completely new to the billing subject. My previous experience is based in Portugal and UK (where billing does not exist) and I've been introduced to this topic since I joined my current institution that will be following the North American Healthcare model. So... any help will be GREATLY appreciated!! Many Thanks in advance, Joana Joana Moreira Supervisor - Anatomical Pathology Department of Pathology Sidra Medical Research Center PO Box 26999 | Doha, Qatar Direct Line +974-4404-2036 jmore...@sidra.org | www.sidra.org Disclaimer: This email and its attachments may be confidential and are intended solely for the use of the individual to whom it is addressed. If you are not the intended recipient, any reading, printing, storage, disclosure, copying or any other action taken in respect of this e-mail is prohibited and may be unlawful. If you are not the intended recipient, please notify the sender immediately by using the reply function and then permanently delete what you have received. Any views or opinions expressed are solely those of the author and do not necessarily represent those of Sidra Medical and Research Center. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ~~ This email and any files transmitted with it are confidential, and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error contact the Help Desk for Cape Cod Healthcare. helpd...@capecodhealth.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: IHC Billing Question
We have not been charging for the negative control, assuming that it was just a cost of doing business. I would be interested to hear if anyone has been charging for their negative controls 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: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Burnett, Brandy Sent: Thursday, April 16, 2015 9:48 AM To: 'Joana Moreira'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: IHC Billing Question We recently added HER2 IHC testing in our lab which we are required to use a negative reagent control For each case. Is there a cpt code for negative reagent control reimbursement? Any information on this Would be much appreciated! Thanks Brandy Burnett Histotechnoligist, QIHC(ASCP) CCH Pathology/Histology Expert physicians. Quality hospitals. Superior care. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joana Moreira Sent: Thursday, April 16, 2015 7:25 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] IHC Billing Question Greetings from Doha! This was much probably discussed before, but I was wondering if you could help me with a query in regards to billing. For the sites that are still doing an IHC negative reagent control for each patient specimen, do you bill for the negative control? Using code 88341? I believe it should be billed (since when and if performed correctly the negative control follows a normal IHC technique) however I am completely new to the billing subject. My previous experience is based in Portugal and UK (where billing does not exist) and I've been introduced to this topic since I joined my current institution that will be following the North American Healthcare model. So... any help will be GREATLY appreciated!! Many Thanks in advance, Joana Joana Moreira Supervisor - Anatomical Pathology Department of Pathology Sidra Medical Research Center PO Box 26999 | Doha, Qatar Direct Line +974-4404-2036 jmore...@sidra.org | www.sidra.org Disclaimer: This email and its attachments may be confidential and are intended solely for the use of the individual to whom it is addressed. If you are not the intended recipient, any reading, printing, storage, disclosure, copying or any other action taken in respect of this e-mail is prohibited and may be unlawful. If you are not the intended recipient, please notify the sender immediately by using the reply function and then permanently delete what you have received. Any views or opinions expressed are solely those of the author and do not necessarily represent those of Sidra Medical and Research Center. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ~~ This email and any files transmitted with it are confidential, and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error contact the Help Desk for Cape Cod Healthcare. helpd...@capecodhealth.org ___ 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
[Histonet] Re: IHC Billing Question
I have never heard of anyone billing for a negative control and would highly recommend against doing so. As mentioned, it is a cost of doing business--which is why when CAP clarified that polymer detection systems did not require them, most cost-conscious labs quit running them. Regards, Bryan Szpunar, HT(ASCP) -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto: histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joana Moreira Sent: Thursday, April 16, 2015 7:25 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] IHC Billing Question Greetings from Doha! This was much probably discussed before, but I was wondering if you could help me with a query in regards to billing. For the sites that are still doing an IHC negative reagent control for each patient specimen, do you bill for the negative control? Using code 88341? I believe it should be billed (since when and if performed correctly the negative control follows a normal IHC technique) however I am completely new to the billing subject. My previous experience is based in Portugal and UK (where billing does not exist) and I've been introduced to this topic since I joined my current institution that will be following the North American Healthcare model. So... any help will be GREATLY appreciated!! Many Thanks in advance, Joana Joana Moreira Supervisor - Anatomical Pathology Department of Pathology Sidra Medical Research Center PO Box 26999 | Doha, Qatar Direct Line +974-4404-2036 jmore...@sidra.org | www.sidra.org Disclaimer: This email and its attachments may be confidential and are intended solely for the use of the individual to whom it is addressed. If you are not the intended recipient, any reading, printing, storage, disclosure, copying or any other action taken in respect of this e-mail is prohibited and may be unlawful. If you are not the intended recipient, please notify the sender immediately by using the reply function and then permanently delete what you have received. Any views or opinions expressed are solely those of the author and do not necessarily represent those of Sidra Medical and Research Center. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
