RE: CPT coding/billing

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From:"Goodwin, Diana" <DGoodwin@CHSNJ.org>
To:"'Jennings-Siena, Debbie'" <ds.jennings-siena@baylordallas.edu>, 'Histonet' <HistoNet@Pathology.swmed.edu>
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Thanks, Debbie.

Here's another one for you that came up yesterday:

Is there a way to charge on a per-block basis, rather than just
88300-88309 one time for each case?  For example, under code 88305, both
needle bx. of prostate, 2-3 blocks, and prostate-TUR, 10-15 blocks are
listed.  Obviously, the TUR takes 3 times the equipment, supplies, and
tech-time to process.  

Also, are there appropriate codes for serial sections and re-cuts?

PS:

Betsy, I'd like to get the NJSH's oppinion on this also

Diana Goodwin,  HT
Trenton,  NJ



> ----------
> From: 	Jennings-Siena,
> Debbie[SMTP:ds.jennings-siena@baylordallas.edu]
> Sent: 	Tuesday, July 11, 2000 2:23 PM
> To: 	'Goodwin, Diana'
> Subject: 	RE: CPT coding/billing
> 
> Hi Diana,
> It is my understanding that it is appropriate to charge for each of
> the
> biopsies as long as each is separately identifiable and reported in
> the
> surgical report.  88305 would be the appropriate code to use also.  I
> hope
> that this helps.  If not let me know and I will try again.
> Debbie
> 
> -----Original Message-----
> From: Goodwin, Diana [mailto:DGoodwin@CHSNJ.org]
> Sent: Tuesday, July 11, 2000 12:29 PM
> To: 'Jennings-Siena, Debbie'
> Subject: RE: CPT coding/billing
> 
> 
> Hi, Debbie.
> 
> I need to pick your brain again.  I have to revise the chargemaster
> for
> AP since our hospital has now merged with another.  I was going over
> my
> saved e-mails pertaining to CPT when I came across this one.  Very
> often, we get separate multiple GI biopsies with one requisition form,
> designated such as  bx. colon @ 10 cm., another at 20 cm, etc, right
> on
> up to 10 sometimes.  Is it appropriate to bill with code 88305 10
> times?
> 
> Thanks for your help.
> 
> Diana Goodwin
> 



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