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repeat receptor studies done on block from outside lab

Jerilen Posted Tue 10th of February, 2015 14:40:23 PM

We received a paraffin block from an outside lab for running repeat receptor studies (ER, PR, Her2-Neu). We also received pathology reports indicating the patient has invasive ductal carcinoma. We prepared the block and ran the receptors. No diagnosis was given by our pathologist, only the results of the receptor studies. Can we bill 88323 in addition to the stains we performed even though we didn't provide diagnosis?

SuperCoder Answered Mon 16th of February, 2015 09:11:37 AM

We are researching and will get back to you ASAP.

SuperCoder Answered Mon 16th of February, 2015 09:11:37 AM
Mail sent to ellen
SuperCoder Answered Thu 19th of February, 2015 03:00:14 AM

No, the case you've described does not warrant reporting 88323. You provide no evidence that a referring physician requested that your pathologist review the case and offer an opinion. You also provide no evidence that the pathologist evaluated the case and provided an opinion on the diagnosis. You should bill only the receptor studies.

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