Dear Kari,
I have worked at institutions in the past where this was the practice. I am
not sure about the reimbursement issues. It is definitely a practice due to
medical/ legal concerns. The majority of ' routine' placentas, a P.A. Did
the gross exam, submitted material to be processed & embedded & the blocks
were filed. These gross exams were usually done 1-2 X's a week, not every
day, and the blocks were processed once a week. No H&E was cut unless
requested, usually initiated by the ob/gyn. Placentas with any abnormal
history or gross finding were submitted for routine micro. I don't remember
the other details. I know the ob/gyn & neonat docs really liked this
process. Saved them countless problems on numerous occasions.
Hope this helps.
Patti Loykasek BS, HTL, QIHC
PhenoPath Laboratories
Seattle, WA
> Our OB/GYN department is requesting we accession/receive all placentas.
> They want us to continue with the gross and micro for the one that meet
> the criteria for examination. For the normal placentas, they want us to
> gross the placenta, take a few sections and store these sections (uncut)
> for up to 20 years.
>
>
> Is there any pathology departments that receive all placentas? If you
> do, do you perform just a gross exam on the normal placentas or do you
> perform a gross and micro on all specimens?
>
> If you receive all placentas, do the insurance companies reimburse for
> the normal (the ones that do not meet the CAP guidelines for
> examination) placentas?
>
> Please contact me if your hospital does this or something similar with
> the placentas.
>
> Thank you,
>
>
>
> Kari Breal
> Histology Supervisor
> Alexian Brothers Medical Center
> 847-437-5500 ext. 5155
> Fax 847-981-2023
> brealk@alexian.net
>
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