88342 Medical Necessity

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Special Histochemical Stains & Immunohistochemical …

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=36234&CptHcpcsCode=88342

Explanation of Revision: Based on Change Request (CR) 10901, the LCD was revised to remove all billing and coding and all language not related to reasonable and …

Lab: Special Histochemical Stains and …

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=35922&CptHcpcsCode=88342

The medical necessity for the special stain or IHC studies, and the results of the stain or IHC, must be documented in the surgical pathology report. IHC for Breast …

Billing and Coding: Lab: Special Histochemical Stains …

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57611

88342 immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure 88344 immunohistochemistry or …

CPT Code 88342 | Description, Procedure & Billing Guidelines …

https://www.codingahead.com/cpt-code-88342-description-procedure-billing-guidelines/

billing 88360, 88342, 88341 | Medical Billing and Coding …

https://www.aapc.com/discuss/threads/billing-88360-88342-88341.186346/

It's helpful to have this resource available for review to verify when you have a situation like this that requires a modifier when certain CPTs are billed together. CPTs …

Billing and Coding: Molecular Pathology Procedures

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56199

CPT code 81445 or 81450 should be billed when 5 to 50 genes are ordered. CPT code 81455 should be billed when 51 or greater genes are ordered for molecular biomarkers. …

Article - Billing and Coding: MolDX: …

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54271

AHA copyrighted materials including the UB‐04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or …

cpt code 88341, 88342, 88360, 88331, 88332 | Medicare …

https://medicarepaymentandreimbursement.com/2017/01/cpt-code-88341-88342-88360.html

Procedure code and Description. 88312 SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP I FOR MICROORGANISMS (EG, ACID FAST, METHENAMINE …

Lab Management Guidelines v2.0.2019 …

https://www.evicore.com/-/media/files/evicore/clinical-guidelines/solution/lab-management/healthplan/immunohistochemistry-ihc.pdf

Codes 88342 and 88341 are reported for a single antibody stain procedure. Code 88344 is used to report a multiplex staining procedure* (e.g., PIN-4, ADH-5, Uro-3 triple stain). …

Special Histochemical Stains and Local Coverage …

https://www.sonoraquest.com/media/1273/special_histochemical_stainsimmunohistochemical_stains_icd10.pdf

PIN4 is an IHC cocktail of CK5/14, p63 and P504S that is used primarily to differentiate normal and neoplastic epithelial tissues. In prostate tissue, CK5 and CK14 are detected in …

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