CPT code for Helicobacter urease test?
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From: | RSRICHMOND@aol.com |
To: | HistoNet@pathology.swmed.edu |
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Wait a minnit - I'm getting confused here -
Jennifer MacDonald wrote:
>>Our pathologist charge [sic] an 88300 for a gross only.<<
You mean your pathologist looks at a little piece of tissue in a rapid urease
test (Clo-Test) capsule, employs the full force of four years of medical
school and five years of residency to determine that its color has changed
from yellow to red, dictates a diagnosis reflecting this determination, and
charges an 88300 (gross examination by pathologist, without microscopic
examination) for this?
I've never seen such a thing, in many laboratories. Usually I have to either
make a phone call or walk across the hall to a microbiology lab to find out
that a Clo-Test has been done (since I like to include the Clo-Test report in
my results, along with the report of my microscopic examination for
Helicobacter.) In some hospitals, the gastroenterologist doing the endoscopy
pockets the Clo-Test, reads it himself if he remembers to, and bills the CPT
for it. Or a nurse may read it in the endoscopy lab.
I don't like the idea of doing a pathologist's gross-only here. In the first
place, it's ridiculous and unproductive. In the second place, eventually one
of these patients, by the luck of the draw, will get a cancer of the stomach
(or perhaps the anus, given the current propensities of juries in the USA),
and at that point I don't want such a report in the patient's chart.
The proprietary name "Clo-Test" (of Australian origin, I think) must bring
about many a grin in middle European laboratories - where it would express
what I think ought to be done with these specimens!
Bob Richmond
Samurai Pathologist
Knoxville TN
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