RE: cpt consult
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From: | "MacDonald, Jennifer" <jmacdonald@sach.org> |
To: | Janice Mahoney <jmahoney@alegent.org>, 'Don Hammer' <donh7@earthlink.net> |
Reply-To: | |
Content-Type: | text/plain |
88321 is the CPT code for a consult and report on referred slides. There
is no technical component.
88323 is the CPT code for a consult and report on referred slides with
preparation. There is a technical component for billing (88323-TC).
In practice if we are required to do immuno staining we obtain billing
information and bill the patient's insurance. If the person has an HMO it
often requires getting pre-authorization.
> Jennifer MacDonald
> San Antonio Community Hospital
> Upland, CA 91786
> (909) 985-2811 ext. 4148
> jmacdonald@sach.org
>
>
>
> > Can anyone give me information regarding technical billing aspects on
> consults. The situation is that Our Pathologists are a separate business
> and bill for the professional component separately. We have begun to do
> more and more slide preparation, special stains and immuno on outside
> consults. Can we separate out the technical aspects of the work done and
> bill the physician sending the work to us? If so, do we use the cpt codes
> for each individual test(stain, immuno etc.) done, or just charge the
> technical component of 88323.
> > Thanks for the help
> > Jan Mahoney, Omaha, NE
> >
> >
>
>
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