Melan
New
A dematopathologist has recently joined our dermatology practice and I am dealing with some new situations that I am not sure how to code. The dermapathologist is preparing and reading the specimen in-house so we bill a 88304 or 88305 global. Recently he is preparing and reading the slides and then sending them out to path lab to have the specimen prepared with special stains. I know that we need to bill out the technical component with at TC modifier on a separate claim but I am unsure about how we would bill for the professional. The dermapathologist has prepared and read the specimen so can we bill a 88304 or 88305 with no modifier and the special stains 88342, 88312 or 88313 with the 26 modifier? or does the 88305 or 88305 need the 26 modifier too? Or another scenerio is that we bill the 88305 or 88304 twice for the first and second reading???? Please help I cannot get any definite information from anyone. Thanks.