Recent content by danachock

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    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 laboratory test here unless a clinician reviewed it at the...
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    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 stated 2024...
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    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 in and provide an electronic signature (those...
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    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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    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 support billing this. It has to be quantified and I...
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    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 exactly why I stated, "if documentation supports it to...
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    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 reviewing ICD, let's go "to the basics" here...
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    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 blocks" and did you also "carefully access the...
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    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 of the pathology report to support those charges...
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    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 to explain why an outpatient 85060 is medically...
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    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 interpretation was performed. You need to apply the...
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    Wiki intestinal metaplasia vs barrett's esophagus

    Hello Morella1, Let me see if I can help provide some help with Barrett's Esophagus AKA intestinal metaplasia. If you refer to your ICD book on Barrett's Esophagus, it directs you to utilize the default K22.70 (any mention of dysplasia; there are subcategories to review in your ICD Index)...
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    Wiki Where is the AAPC in all that Love and union for discission making these discussions; I'm probably a jerk have my feedback but to just shut up here.

    I'm going to post here.
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    Wiki Pathology coding production standard

    I'll reply here kozy I clearly believe the radiology department took on pathology here (tell me I am wrong). Average production isn't based on CPT assignment here. It is 20-25 pathology accessions per an hour (mixture of simple and complex accessions for review) Just curious, have you ever had...
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    Wiki Path consult 88325 vs 88321

    Hello pinky72034@aol.com Please don't post multiple times for same scenario. I posted on your original post (deleted it) to post on your most recent post. Yes, just reviewing the slides along with the pathology report from an outside facility requesting a consultation, warrants billing 88321...
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