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Dermpath Technical component

Trisha Posted Wed 07th of August, 2013 15:42:38 PM

Our Dermpath laboratory would like to complete special stains for outside offices that cannot do that themselves.
We will bill insurance with the modifier-TC
My questions are:
In order to bill we need an official pathology report, signed out by a pathologists and a diagnosis attached.
For example, An office asks us to complete a Mart melan A stain only from the block they send us. They will read the slide/case.
We would bill 88342-TC only
What do we attach as a diagnosis? Can we use a generic code like 709.9? or ????
Are there stricj requirements for what the report should read? Offices do not even want a copy.
Thank you

SuperCoder Answered Thu 08th of August, 2013 05:27:56 AM

Hi,

We are working on this case. This being a complex scenario, we want to be sure before letting you know.

Thanks,

SuperCoder Answered Fri 16th of August, 2013 18:46:07 PM

Hi,

We are working on this case. This being a complex scenario, we want to be sure before letting you know.

Thanks,

SuperCoder Answered Fri 16th of August, 2013 18:46:07 PM
Vinay/Karan, Please check, I have forwarded this last week
SuperCoder Answered Wed 21st of August, 2013 10:12:21 AM

You should code the diagnosis to the highest degree of specificity at the time of billing. If you don't have the final diagnosis from the pathologist who reads the slides that you prepare, you should use the diagnosis submitted to you by the ordering physician when your special stain work is ordered. You should not "make up" a generic diagnosis.

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