Hi,
serennaodonnell but I am betting if you queried this, it was just simply a normal IHC stain and they simply threw out their interpretation of a a range of percentages.
Also, how would your send your pathology report if the morphometric wasn't documented, if lets just state CK45 was also performed with Ki67? (88360 with 88342 is a true denial battle). Lets say Medica or our favorite BCBS states its "mutually exclusive" even though you need to appeal (goodness if your billing team allows this because my facility, they are clearly crazy writing off small balances like 88342 because of the EOB adjustment codes but they give you 88341xnumber of charges as a denial that they really want to appeal, That pathology report needs to clearly state morphometric in the final interpretation or you are hearing crickets and nothing on the back side here.
Please query, ask those questions. Please explain my rationale if you cannot. Even if you don't work those those denials personally. I seriously pray that I gave my biller enough information we had 'ENOUGH NECESSARY" information to appeal this accession.
Morphometric stains are precise. They give you the definitive answer 80%, 90%, equivocal, or otherwise.
I'm hopeful I answered all your questions, if not. Please respond, okay. Thank you for listening and have a fantastic evening!
Dana Chock, CPC, CANPC, CHONC, CPMA, CPB, RHIT