We have a pathologist that has performed an intraoperative consult
along with touch prep on outpatient hospital patient and I need to
know if the hospital can bill 88333TC to insurance or do they charge
88104 for the technical component?
Thanks in advance,
Debbie
When your pathologist consults with a surgeon and performs touch preps to help provide diagnostic information during surgery, you should report intra-operative touch preps with 88333 and 88334.
Sanjit, Thanks for your reply.
I understand what code I need to use for the pathologist but I need to know if
the hospital can charge the technical component by using 88333 or if it is a
different CPT they would use for the technical component such as 88104?
Reimbursement for TC services provided in a hospital setting (both inpatient and outpatient) is generally made directly to the hospital under Medicare’s Prospective Payment System.
Guideline for Hospital Model: hospital owns laboratory and bills TC; pathologist bills PC
