Pathology/Lab Coding Alert
88321: Don't Double Dip for IHC
Question: Nebraska Subscriber Answer: Based on your description, you should bill for the consultation using 88321 (Consultation and report on referred slides prepared elsewhere). The consultation code includes the service your pathologist performs when he "reads" immunohistochemistry (IHC) slides (or any slides) that were already prepared. Medicare's Correct Coding Initiative (CCI) bundles these codes to ensure proper coding and payment.
Pathology/Lab Coding Alert
- CCI Policy Manual:
G0416-G0419: Mark 5 Prostate Biopsies as the Magic Cutoff For 88305
Method, not number, should lead code choice. Quarterly updates aren't the only way that Medicare's [...] - ICD-10 Sidebar:
600 to N40: Expect Fewer Enlarged Prostate Code Choices
Cyst moves to different family. When you start getting test orders under ICD-10 with enlarged [...] - Place of Service:
81 is Out: Claim POS Based on Patient Location
Expect "facility" payment to impact your bottom line.With a last-minute CMS announcement to delay implementing [...] - Legislation Update:
Prepare for Sunset of TC 'Grandfather' Arrangements
Accept short-term MPFS pay rescue.The "Middle Class Tax Relief and Job Creation Act of 2012" [...] - You Be the Coder:
Distinguish 'Specimen' Vs. 'Site' for Touch Preps
Question: If our pathologist performs intra-operative touch preps on two separate breast biopsies, one from [...] - Reader Question:
Check Payer Rules for IHC
Question: Our lab processed a lymph node biopsy for a patient with melanoma. We stained [...] - Reader Question:
Use Lab Protocol to Establish Urine Culture Order
Question: We know that Medicare is reviewing urine reflex cultures, and we're wondering if we [...] - Reader Question:
Follow Method to Choose HPV Code
Question: Our lab started receiving specimens from an otolaryngologist client for HPV testing. We currently [...] - Reader Question:
88321: Don't Double Dip for IHC
Question: When our pathologist consults on a case that includes immunostain slides, which the pathologist [...] - Reader Question:
82731: Analyte Leads Code Choice
Question: Our lab has started performing a fetal fibronectin test that an OB orders to [...]
