RE: CPT codes-prof vs tech?

<< Previous Message | Next Message >>
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




<< Previous Message | Next Message >>