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danachock's latest activity
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Ddanachock replied to the thread Wiki In search of an LABORATORY coding mentor!.I am a little unsure here how to respond. Laboratory is pretty cut and dry here. The accessioner or cytotech dropped a charge. Are you going to validate it or trust what CPT they gave you? I'm seriously wondering why you would review a...
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Ddanachock replied to the thread Wiki Respiratory Viral Panel.You are accurate chels1918 Medicare in an outpatient setting will not cover this charge; does your healthcare facility know how to complete an ABN? You can find that information on the CMS.gov website to help. This was the link I found and...
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DA breast capsule is typically 88304 for the tissue level.
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Dif it's skin of breast, I would use an 88304 for the tissue level
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D82043 is quantitative. 82044 is semiquantitative A quantitative test would give you an exact value. A semiquantitative test would give you an approximate value - for example, using a dipstick to give an approximate value by matching a color to...
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Ddanachock replied to the thread Wiki Provider Signature.Hello quizon.marie12@gmail.com, May I ask a question please? What do you believe is the difference between an actual signature (possibly a scanned in "order" document) versus an electronic signature? Those requirements for our clinicians to log...
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Ddanachock replied to the thread Wiki 88360.You are absolutely correct Narobo. Please be cognizant, not everyone has access to the APF manual here. Explain it in simple terms.
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Ddanachock replied to the thread Wiki 88360.Hello Narobo, I will bill 88360 if tumor cells were quantified. I will appeal charges all day long. You need the numerical value %, <, >, or = to 1, 2, 3 with the disclaimer (key) on why; or possibly greater than 90%, 80%, 20% or otherwise to...
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Ddanachock replied to the thread Wiki CYTOLOGY 88112/88313.Yes TGRAY, You are absolutely accurate. The pathology report does not state exactly why the Wright smear was evaluated. No mention of why it was performed or any mention of positive or negative results. I would have not billed it. That is...
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Ddanachock replied to the thread Wiki Newbie with breast biopsy question.Yes, MrsSpiney I did not mean to alarm you from my prior comment. I am betting that all charges warrant the 88307 because margins were reviewed here. I thought we were reviewing CPT not ICD here and I wholeheartedly apologize. No worries, we are...
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Ddanachock replied to the thread Wiki Newbie with breast biopsy question.Hello and good evening MrsSpiney, I do not care if the margins were on fire here. Seriously, what did the pathologist state within the pathology report that I do not have the privilege to see? Did you carefully access the "gross for inking and...
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Ddanachock replied to the thread Wiki 88360.sdaniels ~ you nailed it! you have the coding spot on! If anyone else was wondering why I state that. First, Let's look at the body of pathology report. We all know AE1/AE3, GATA3, ER, PR and HER2 were performed. Seriously, look at the rest...
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Ddanachock replied to the thread Wiki PERIPHERAL SMEARS.I wholeheartedly apologize Lupita1983 I did not need to even look at your example in an outpatient setting. 85060 is denied all day long by CMS. It is deemed an inpatient only specimen. If it is commercial you may get reimbursed. Maybe it is time...
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DHi Lucy071789, I hope this helps: Examples of different pathologist/different cases Specimen B PIN4: highlights cancer glands Specimen E GATA 3: negative PIN 4: consistent with carcinoma Specimen M PIN 4: highlights one atypical gland at the...
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Ddanachock replied to the thread Wiki FLOW PROFEESIONAL 88187-88189.Hello raphaguz@yahoo.com, There were two distinct billing scenarios. I would ABSOLUTELY NEVER COMBINE TWO BILLING SCENARIOS TO DRIVE CPT CHARGES (either professional or technical). The Flow Cytometry 88189 was performed. Same day the PNH...
