RE: CPT codes-prof vs tech?
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From: | "Jennings-Siena, Debbie" <ds.jennings-siena@baylordallas.edu> |
To: | 'Sue Danielson' <sdaniels@post.its.mcw.edu>, histonet@pathology.swmed.edu |
Reply-To: | |
Content-Type: | |
Hi Sue,
I think that I can help you. There are basically three ways that an
Anatomic Pathology CPT code could be used, globally, technical and
professional, however, not all codes have the ability to be charged each of
the three ways. Globally, means that the charge covers the technical and
professional components, both, with no modifier after the code. If you only
want to charge for the technical component, then the CPT code must have a
-TC modifier after it and if you only want to charge for the professional
component, then a -26 modifier must be used. A lot of the codes may be
charged either way, as previously mentioned, however not all. The list
goes like this:
These are the codes that can be billed either globally, professional
or technical, depending on the use of modifiers or not.
88104
88106
88107
88108
88125
88160
88161
88162
88170
88171
88172
88173
88180
88182
88199
88300
88302
88304
88305
88307
88309
88311
88312
88313
88314
88318
88319
88323
88331
88332
88342
88346
88347
88348
88349
88355
88356
88358
88362
88365
88399
The codes that are professional only include:
88321
88325
88329
there are some cytology codes that are professional only but my CPT
code book is an older version and I will need to get a later copy. Do you
need the cytology codes?
I hope that this is helpful
Debbie J. Siena, HT(ASCP)
Histopathology Manager
Baylor University Medical Center
Dallas, TX 75246
214-820-2465 vm
214-820-4110 fax
ds.jennings-siena@baylordallas.edu
-----Original Message-----
From: Sue Danielson [mailto:sdaniels@post.its.mcw.edu]
Sent: Monday, August 07, 2000 2:28 PM
To: histonet@pathology.swmed.edu
Subject: CPT codes-prof vs tech?
Hello,
Can anyone in histoland direct me on how to determine/designate a CPT code
as professional versus technical? Hopefully, someone can send me to the
written criteria somewhere which can help determine this. I sort of assumed
that a code such as 88319 (histochemistry) would be technical, while a code
like 88323 (written report on referred slide material) would be
professional. Can a single CPT code be both professional and technical at
the same time?
Thank you all in advance!
Susan Danielson, MS
Neuromuscular Lab Coordinator
Dept. Neurology, Medical College of Wisconsin
ph:414-259-3836
Fax: 414-454-7905
email: sdaniels@mcw.edu
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