Sundancer
Networker
I'd like some opinions on how to count the specimen(s) in this case, based on how they wrote up the accession.
We're having some arguments over this w the path dept on how to count them based on how they accessioned the specimens as a single specimen (submitted), yet the gross supports that the tubes were id'd separately and in separate cassettes. Most of the coders and audit managers think this is ONE unit, as the specimen is written up as a single specimen (not Spec A. tube L, Spec B. tube R) so it doesn't qualify as separately submitted, despite the gross noting separate identification.
SPECIMEN:
FALLOPIAN TUBES, BILATERAL, TUBAL LIGATION WITH ID, RIGHT TIED
GROSS DESCRIPTION:
The specimen is received in one part labeled XX-19-xxxx; Txxxx, Xxxx and medical record number xxxx.
Received in formalin labeled "bilateral fallopian tube segments" are two tan-pink, cylindrical, grossly unremarkable fallopian tube segments, each measuring
2.0 cm in length x 0.5 cm in diameter. The right segment shows a portion of fimbria and is indicated with a suture. The specimen is serially sectioned and entirely submitted in two cassettes as follows: cassette 1 - right segment; cassette 2 - left segment.
We're having some arguments over this w the path dept on how to count them based on how they accessioned the specimens as a single specimen (submitted), yet the gross supports that the tubes were id'd separately and in separate cassettes. Most of the coders and audit managers think this is ONE unit, as the specimen is written up as a single specimen (not Spec A. tube L, Spec B. tube R) so it doesn't qualify as separately submitted, despite the gross noting separate identification.
SPECIMEN:
FALLOPIAN TUBES, BILATERAL, TUBAL LIGATION WITH ID, RIGHT TIED
GROSS DESCRIPTION:
The specimen is received in one part labeled XX-19-xxxx; Txxxx, Xxxx and medical record number xxxx.
Received in formalin labeled "bilateral fallopian tube segments" are two tan-pink, cylindrical, grossly unremarkable fallopian tube segments, each measuring
2.0 cm in length x 0.5 cm in diameter. The right segment shows a portion of fimbria and is indicated with a suture. The specimen is serially sectioned and entirely submitted in two cassettes as follows: cassette 1 - right segment; cassette 2 - left segment.
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