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Heather Posted Mon 26th of August, 2013 11:55:13 AM

If we perform the 88237 and 88264 with a PhD interpreting using the 88291, do we need to submit with a modifier on the 88291 or just the 88291?

SuperCoder Answered Tue 27th of August, 2013 00:35:56 AM

We are working on this.

SuperCoder Answered Tue 27th of August, 2013 00:35:56 AM
With Ellen for Review.
SuperCoder Answered Wed 04th of September, 2013 14:17:00 PM

If your lab performs a tissue culture (88237, Tissue culture for neoplastic disorders; bone marrow, blood cells) and a chromosome analysis (88264,) Chromosome analysis; analyze 20-25 cells) and a PhD “interprets” the results, you should report only 88237 and 88264.
You can report 88291 (Cytogenetics and molecular cytogenetics, interpretation and report) only if the service is performed by a physician -- not a PhD lab scientist. Additionally, you should not report 88291 unless the physician interprets the results of a conventional cytogenetics test and a molecular cytogenetics test, which is not in evidence in your example.

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