Coding issue for cytology-does anyone believe this?
|From:||Vinnie Della Speranza |
I'd be grateful to hear from anyone who considers themselves knowledgeable
about CPT coding in regards to the following:
Our billing dept is kicking back bills on cytology samples that have had
special stains performed BECAUSE the CPT code book description for special
stains (88312 and 88313) reads as follows:
"special stains (list separately in addition to code for surgical pathology
examination), Group I (or II)"
there is no mention of cytology samples in the descriptive for special
stains, only surgical pathology, which implies that stains cannot be billed on
cytology samples. There are no separate codes for special stains performed on
We had a bronchoscopy specimen on an immunosuppressed patient stained for
AFB and Fungus kicked back. By the way, it was not kicked back by the insurance
co. our billing department has it's own software to clean up bills to reduce the
number of rejected claims.
Is the use of stains on cytology samples not the standard of care and do
you know if you are getting paid for doing them?
Vinnie Della Speranza
Manager for Anatomic Pathology Services
University of South Carolina
165 Ashley Avenue Suite 309
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