RE: [Histonet] er/pr charging
Our pathologists interpretation of ER/PR IHC is stated as either "positive
or negative". This in our estimation does not meet the standard of either
quantitative or semi-quantitative (which is specified in the CPT code 88361
application description. We therefore are continuing to code these as
88342's. I think that if the interpretation is stated as a raw "numerical"
value (eg. 45% or 70% rather than a less empirical statement of 1+ or 3+)
there is good justification to use the new 88361 code.
Anatomic Pathology Supervisor
Deaconess Medical Center
800 W. 5th Ave
Spokane, WA 99204
From: Hallada, Teri [mailto:email@example.com]
Sent: Thursday, April 01, 2004 4:25 AM
To: Kelly Simon; Joyce Cline
Subject: RE: [Histonet] er/pr charging
I believe you must "quantitative" the results in some format. Our
pathologists here don't quantitative ER/PR only Her2, so we don't use 88361
for ER/PR only Her2. Is this correct?
Teri Hallada BS MT CT (ASCP)
> -----Original Message-----
> From: Kelly Simon [SMTP:firstname.lastname@example.org]
> Sent: Thursday, April 01, 2004 01:06
> To: Joyce Cline
> Cc: email@example.com
> Subject: Re: [Histonet] er/pr charging
> According to a story by Lisa Miller in the January
> 2004 CAP Today, there is a new code for ER/PR and
> "CPT 2004 separates traditional tumor morphometric
> analysis from semiquantitative immunohistochemistry.
> New code 88361 was created to report quantitative or
> semiquantitative immunohistochemistry for such
> analyses as hormone receptor and HER2/neu testing. The
> technical services of 88342 are incorporated into the
> new code."
> Kelly Simon, HTL (ASCP)
> Dynacare Laboratories
> Seattle, WA
> --- Joyce Cline wrote:
> > Does everyone use the CPT code 88342 for charging
> > the er/pr immuno's. Or is there another code that is
> > used for the technical component?
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