Cytology CPT charges

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From:"Jennings-Siena, Debbie" <> (by way of histonet)
To:histonet <>
Content-Type:text/plain; charset="us-ascii"

I am really in over my head.  I am reviewing our CPT charges for cytology
and the descriptions are so vague that I am having trouble. Part of my
confusion also, is that we are only accessioning cytology specimens and then
sending them to a private lab for processing, screening, and  staining, the
slides are then returned to our pathologists, who dictate a report.
Most of our cytology's are non-gyn specimens.  I need to ask the following

1.	If the hospital is charging the patient for the technical only
portion of the bill, can the hospital use the following codes:
	88104-Cytopathology fluids, washings or brushings, except cervical
and vaginal; smears 		with interpretation.  We use this one for
unstained smears like FNA's
	88108-Cytopathology, concentration technique smears and
interpretation.  We use this 		one for thin prep and cytospins.
	88305-Cellblocks any source for interpretation.
Help, Thanks, I really appreciate this much.
Debbie J. Siena, HT(ASCP)QIHC
Baylor University Medical Center
3500 Gaston Ave.
Dallas, Texas
214/820-2465 VM
214/820-4110 Fax

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