RE: [Histonet] another point on billing codes

From:"Bernice Frederick"

Everyone is correct- the IHC CPT code only addresses the stain,not the
results. It's your work and the pathologist interpretation, not the resuts.
The same could be said for special stains (say,like fungus)

Bernice Frederick HTL (ASCP)
Northwestern University
Pathology Core Facility
710 N Fairbanks Court
Olson 8-421
Chicago,IL 60611

-----Original Message-----
[] On Behalf Of Weems, Joyce
Sent: Wednesday, August 29, 2007 8:08 AM
To: Orr, Rebecca;
Cc: IHCRG Resource Group (E-mail)
Subject: RE: [Histonet] another point on billing codes

This is the first that I have heard that the code for IHC might be based on
negative or positive results. I believe the code addresses the stain not the
results.... my 2 cents. j:>)

Joyce Weems
Pathology Manager
Saint Joseph's Hospital 
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
404-851-7376 - Phone
404-851-7831 - Fax

-----Original Message-----
[]On Behalf Of Orr,
Sent: Wednesday, August 29, 2007 7:25 AM
Cc: IHCRG Resource Group (E-mail)
Subject: [Histonet] another point on billing codes

I'm interested in everyone's input on this thread.
Charging for Breast cases seems to be as unclear as the processing
We are now in the process of figuring out charges if the ER PR Her2
results are negative.

ER PR Her2 are quantitative (2+, 3+) or semi quantitative (weakly or
strongly positive, etc)
Assuming these markers are ordered on a breast cancer (not a benign
breast), even a negative result is quantitative and contributes to the
outcome of the therapy., isn't this right?  
Please steer me in the right direction if this is an incorrect point.

So we are being told by our billing folks that we must change the code
on the negative resulted ER PR her2 to a lesser charge.
I can understand if CPT may think doctors are charging on unnecessary
IHC tests, but they are focusing on the wrong tests.
(in my opinion).
A negative or 0  result on these particular markers should NOT be
synonymous with "

Quite perplexing and frustrating. 

---Original Message-----
> From:
> []On Behalf Of Parker,
> Helayne
> Sent: Tuesday, August 28, 2007 4:25 PM
> To:
> Subject: [Histonet] CPT codes
> Hi all,
>  Does anyone know the correct charges to charge a breast lump that
> be inked.  Someone told us we could only charge a -307 if it has
> in the micro margins.  As much gross work is done either way (cancer
> not) so what is the real truth ?  We have given most lumps 305 and I
> thinking we are undercharging.
> Thanks,
> Helayne Parker, HT (ASCP)
> Histology Section Head
> Skaggs Community Health Center
> Branson, Missouri
Anatomic Pathology
Evanston Northwestern Healthcare

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