Chrys Posted Fri 30th of November, 2012 09:25:10 AM
FNA - 3 specimens. Pathologists documented cell blocks on all three specimens. At the end of the report, the pathologists dictated on two of the cell blocks: The cell block is nontributory. Can I still charge out the professional and technical on these two cell blocks? Thanks AB
SuperCoder Answered Mon 03rd of December, 2012 16:56:53 PM
Yes, you can charge for the technical and professional components of the cell blocks that the pathologist evaluated and reported, even if the report states that they are “noncontributory.”
When the pathologist documents a stain or study that doesn’t result in clear diagnostic information, he might use the term “noncontributory,” but there’s a better way. Because “noncontributory” might imply to an auditor that the procedure wasn’t medically necessary, it’s not a good word choice. For the same reason, you should avoid words like “routine” or “normal” when describing pathology findings.
Better: You might encourage the pathologist to use terms like, “stain negative for [whatever he was looking for]” or “study did not result in differential diagnosis.