cpt code 88341 and 88342 my question is since 8842, is a componnent of 88360, I append modifier 59 to 88342. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an In 2012, the average payment for IHC service unit (CPT code 88342) was $38. 88342 (if appropriate) LOINC Code Information. A result is stated in qualitative terms if the report says simply that such and such a stain is positive or negative; for example, “the tissue stains negatively for cytokeratin” is a qualitative result. New York Approved. 32 0% 88342 TC Immunohisto initial antibody stain $54. This reimbursement policy applies to all health care services billed on CMS 1500 forms and, when specified, to those billed on UB04 forms. The unit of service will continue to be “each” pass evaluated immediately per specimen. In 2017, the average payment for IHC service unit (CPT codes 88342 and 88341) was $30. Correct CPT coding is the sole responsibility of the billing party. 35 -5% 36450 Bl exchange/transfuse nb A $120. Change Request 8567 SUBJECT: Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits Italicized font – represents CMS national NCD language/wording copied directly from CMS Manuals or CMS Transmittals. Immunohisto antd addl slide. , CPT codes 11100-11101) and frozen section pathology (CPT code 88331) may be reported separately utilizing modifier 59 or 58 to distinguish the diagnostic biopsy from the definitive Mohs surgery. Transport in Michel's medium or Zeus tissue fixative. 38 N/A** Code 88342 is utilized for the first immunohistochemical stain and code 88341 is applied for each additional immunohistochemical stain. CPT coding is the sole responsibility of the billing party. g. 905 – L97. Change in Affiliated Contract Numbers Although CPT codes 88342, 88360, and 88361 and HCPCS codes G0461 and G0462 describe immunohistochemistry (IHC) test services, each service must be selected and reported based on specific clinical indications. Providers must document the different antibody in the CPT coding is the sole responsibility of the billing party. Yes. 58 $75. 51 . 32 or C69. 4/16/2019. Providers should use 88341 and 88342 for immunohistochemistry. 09 $35. Added CPT® codes 88341, 88342, and 88344. Test Code. 96 $124. 86 40. 88341 x3. 63 Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) 88341 94. 88342. CPT Code (s) 88302, 88304, 88305, 88307 or 88309, depending on the case complexity. 15 50. The new CMS fee schedule poses some unique challenges for practices. Special stains (CPT code (s): 88312 (each stain) or 88313 (each stain)) and/or IHC immunohistochemistry stains (CPT code (s): 88342 (each initial antibody), 88341 (each additional antibody)) may be ordered at the discretion of the pathologist. Providers should use 88341 and 88342 for immunohistochemistry. 55 0% 36430 Blood transfusion service A $35. You should report it for the initial single antibody stain procedure on each separate specimen. MLH1. 26 $70. MSH2. Test Classification Provides information regarding the medical device classification for laboratory test kits and reagents. 88341 x3. CMS National Correct Coding Initiative Program (NCCI) Medicare and Medicaid Program Medically Unlikely Edits (MUEs) are used by the Medicare Administrative Contractors (MACs), including Durable Medical Equipment (DME) MACs, to reduce the improper payment rate for Part B claims. Stains / Test Description Carcinoembryonic antigen (CEA) is usually demonstrated as a linear labeling of the apical poles of cells Acronym: CPT: Visibility: Summary Only: Description: CPT is a list of descriptive terms and identifying numeric codes for medical services and procedures that are provided by physicians and health care professionals. 70349 ros1 (cpt: 88342) 70319 pd-l1 22c3 fda (keytruda) for nsclc (cpt: 88360) 76459 pd-l1 lung (pembrolizumab), ihc (cpt: 88360) 76469 pd-l1 non-lung (pembrolizumab), ihc (cpt: 88360) 2021 medicare local coverage determination (lcd) - l36351 billing and coding local coverage article a57611 cpt codes: 88312, 88313, 88341, 88342, 88344, 88360, 88361 Coding and Billing guidelines are available to facilitate reimbursement. 15 Nov 2017 … (PFS) and other Medicare Part B payment policies such as changes to the Medicare Shared … The next review of the GPCIs must occur by CY 2020. Code Category Description; 100: Anesthesia: Anesthesia for procedures on integumentary system of head and/or salivary glands, including biopsy; not otherwise specified. 108 L97. The surgical pathology codes 88300-88309 and 88331-88332 and 88342 are part of the Mohs surgery and are bundled into 17311-17315. List of HCPCS codes and CPT codes for Pap smear coding and billing Commercial insurance and Medicare. UnitedHealthcare has finalized how it will reprocess denial of units of the immunohistochemistry service that exceeded one unit earlier this year. 24 hours. Alternative Name (s) CPT Codes*: 88341, 88342, 88360. 88341 ; Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (list separately in addition to code for primary procedure) 88342 . Effective January 1, 2012, per the AMA and CAP, the unit of service for each IHC stain charge is one unit per different antigen tested and individually reported, per specimen. IHC. Line 1 = 97110 GP pay. 108 L97. S. 88342 Immunohistochemistry 88188 Flowcytometry/read, 9-15 88189 Flowcytometry/read, 16 & 88263 Chromosome analysis, 45 88262 Chromosome analysis, 15-88264 Chromosome analysis, 20-88321 Microslide consultation 88307 Tissue exam by pathologi 88319 Enzyme histochemistry 88360 Tumor immunohistochem/ma 88323 88348 Electron microscopy 88368 Insitu For IHC, 88342 (first marker) and 88341 (additional marker) replaced G0461 and … Current Issues in Cytology Coding Questions, Quandaries and … Nov 15, 2010 … One view of Reimbursement … CMS's acceptance rate of …. gov. 41 CPT codes are provided by the performing laboratory. Deleted HCPCS codes G0461 and G0462. Establishment of a tracking category III CPT code, … The proposed model should work the same regardless of whether …. 33 88341-26 Immunohistochemistry or immunocytochemistry, per specimen; Initial single antibody stain procedure- Professional component $28. MSH6 *If MLH1/PMS2 loss, reflex to MLH1 hypermethylation testing. Code 88341 is for each additional single antibody stain procedure. 54 10% Providers are required to code to specificity however, if an unlisted CPT code is used the documentation must clearly identify the unique procedure performed. 88342 – Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure. 16. The ancillary stain code group should be less than 20% of the total gastric biopsies (88305 codes) submitted. These services will be performed at an additional charge. Immunohisto antb 1st stain. Example: 88342 – Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure. 508 L97. (If the amount of non-decalcified tissue is limited, the immunohistochemical evaluation may be performed on the decalcified tissue block. References CPT Code(s) 88341 88342 88360. Turnaround Time. 70 RVUs) and for the multiplex service 88344 (0. Global: 48 hours, Image Analysis (tech-only): 36 hours, Tech-Only (stain only): 24 hours CPT Code: 81301, 88341, 88342, 88381; LOINC: Specimen Type: Tumor and normal tissue; Frequency: Setup: Monday, Analytic time 14 days; Instructions: Tumor and normal tissue 1 sq cm of each. 88341-TC Immunohistochemistry or immunocytochemistry, per specimen; Initial single antibody stain procedure- Technical component $ 70. 30 – C69. CPT Code(s)* 88342 x 1 or 88341 x 1. When the operating provider or pathologist examines multiple, separate tissue samples on the same date of service for the same patient, the procedure code is reported using either multiple units or line items and may include any appropriate modifier(s). , Her2neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody, manual • 88361-… using computer-assisted technology CPT® Code 88343 in section: 88000 - 88383 -/+ Deleted, Replaced, Expanded Codes CMS made the decision to retain the edits that were in effect prior to January 1, 2020, and to delete January 1, 2020, PTP edits for Current Procedural Terminology (CPT) code pairs 97530 or 97150/97161, 97530 or 97150/97162, 97530 or 97150/97163, 97530 or 97150/97165, 97530 or 97150/97166, 97530 or 97150/97167, 97530 or 97150/97169, 97530 or designated staff. Medicare is denying multiple 88142, 88342 and. 88356. No provider action will be necessary. SPECIMEN REQUIREMENTS Collect. 01 Technical Component 88341-TC 64. 59 $37. Consistent with guidelines from the U. PMS2. Transport Temperature and Stability Billing and Coding Companion Article CPT / HCPCS Codes Referenced; B-type Natriuretic Peptide (BNP) Testing [PDF] L35526: A57083: 83880: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) [PDF] L34233: A57161 (CMS) or other coding guidelines. 88341 (if appropriate) PMS-2, Immunostain. 31 88342 Immunohistochemistry or immunocytochemistry, per specimen, initial single antibody stain $110. 220, 610. 81288. Many tissues and cells, including tissue mast cells CPT Code(s)* 88342 x 1 or 88341 x 1. 77 RVUs), but implemented a value for the add-on service 88341 equal to 40% of the base code (0. Ki67 is preferentially expressed during late G1, S, M, and G2 phases of the cell cycle, while cells in the G0 (quiescent) phase are negative for this protein. CPT …. CPT code 88342 is charged for the initial single antibody IHC stain performed on a specimen. 50 $109. MLH1. Turnaround Time. 79 88342 Inmmunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure 0. 105 – L97. 88342. 2018) Prepared by the College of American Pathologists 86335 26 Immunfix e-phorsis/urine/csf A $18. G0461 and G0462 are being eliminated and 2 new codes (88341 & 88344) are being added. 88341 Immunohistochemistry antibody slide $95. The CPT codes provided are based on AMA guidelines and are for informational purposes only. 88344 • What about 88343? –Proposed by AMA RUC in 2013 as a second tier immunostain (similar to 88341) –Not adopted by CMS –To avoid confusion, omitted from 2015 PFS and a manual platelet count (CPT code 85032) is performed in addition to the performance of an automated hemogram with automated platelet count (CPT code 85027), it would be inappropriate to report CPT codes 85032 and 85027 because the former provides verification for the automated hemogram and platelet count (CPT code 85027). Turnaround Time: Within 1-2 business days of receipt Schedule: Monday - Friday Codes 38220 and 38221 are part of the Correct Coding Initiative edits for the Medicare program. Fluoroscopic and CT guidance and localization for needle placement, is included in codes 64490-64495. Terminology (CPT ®) or Healthcare Common Procedure Coding System (HCPCS) codes are provided per day by the same individual physician or other health care professional. Procedure code and Description 88312 SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP I FOR MICROORGANISMS (EG 88172 & 88342 As of October 1, 2009 changes were made for the billing of CPT code 88172 (Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy of specimen [s]). Only one unit of each of these 3 codes, 88341, 88342, and 88344 can be reported for each separately identifiable antibody per specimen. cpt code 88341, 88342, 88360, 88331, 88332 Procedure code and Description 88312 SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP I FOR MICROORGANISMS (EG, ACID FAST, METHENAMINE SILVER) cpt 88341, 88342 - Lyncy syndrome | Medical billing cpt modifiers and list of medicare modifiers. The CAP disagreed Allergy Testing CPT Codes: 86003, 86005 Alpha-Fetoprotein CPT Code: 82105 Bacteria Culture CPT Codes: 87086, 87088 BCR-ABL Negative MPD CPT Codes: 81206, 81207, 81208 When the National Correct Coding Initiative (NCCI) tables list procedure code pairs with one of the following modifier indicators: Line 3 = 88341 59 reject if Coding Coach Coding Tips An Independent Licensee of the Blue Cross and Blue Shield Association 1 of 4 New ICD-10-CM Codes Added for Non-Pressure Ulcers (June 2018) There are new ICD-10-CM codes for additional non-pressure chronic skin ulcer diagnoses: L97. MSH6 CPT Code (s): 88342 or 88341. Paraffin block and hematoxylin-and eosin slides. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Effective January 1, 2014, Medicare inactivated codes 88342 and 88343 and instructed providers to use new HCPCS codes G0461 and G0462. Correct CPT coding is the sole responsibility of the billing party. 340. Code 88344 is for each multiplex antibody stain procedure. 95 $29. 88365. 31 CPT Code(s)* 88342 x 1 or 88341 x 1. 06 1% . Due to a system edit, some claims for pathology services (CPT Codes 88300, 88302, 88304, 88305, 88307, 88309, 88331, 88332, 88341, 88342, or 88344) have been denied in error. Download Stains by CPT Code 88342 88342:(Global Only) 88312 88313 88365 (in-situ hybridization) Double-Stains Triple-Stain Panels Immunogloblun G (IgG) 88342 Adenovirus Adrenocorticotropic hormone (ACTH) Alk-1 protein Alpha 1 antichymotrypsin/A1ACT Alpha […] 88341 immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (list separately in addition to code for primary procedure) 88342 immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure 0101u hereditary colon cancer disorders (eg, lynch syndrome, pten Add-on codes like 88312-88319, 88342, 88346 and 88348 can’t be separately reported when the underlying preparations were developed at an outside facility. 220, 610. HEPBC : 88342-TC, primary 88341-TC, if additional IHC CPT Code: 88341 Progesterone Receptor on non breast tissue 88342 Progesterone Receptor on non breast tissue CPT Code Information. You should report it for the initial single antibody stain procedure on each separate specimen. 81288. 340. 24 hours. In part these guidelines state: 88341, 88342, 88344, 88360, 88361 Code Status Use 88342 Revised Initial single antibody stain procedure + 88341 New Each additional single antibody stain procedure (use in conjunction with primary code 88342) 88344 New Each multiplex antibody stain procedure 88343 Deleted Replaced by multiplex code 88344 cpt code (s) 88342 (xN) each unique specimen, first IHC stain 88341 (xN) each additional stain 88344 (xN) each multiplex antibody stain (only applicable to PIN-4 (P504S+P63+CK5/14) CPT: 88342 (Immunohistochemistry or immunocytochemistry; each separately identifiable antibody per block, cytologic preparation or hematologic smear; first separately identifiable antibody per slide); 88341 (Immunohistochemistry or immunocytochemistry; each separately identifiable antibody per block, cytologic preparation or hematologic smear; each additional separately identifiable antibody per slide) CPT Code (s): 88342 or 88341. 75% increase over previously announced 2021 MPFS rates. antibody stain procedure 88342 129. MAC Jurisdictions in 2016 …. The CPT Code(s) 88305, 88341, 88342. $68. Effective 02/26/18, these three contract numbers are being added to this LCD. 88341: Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) 88342: Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure 88344 Ki67 is a nuclear protein that is expressed in proliferating cells. CPT code 88344 (Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure). 88362. 74 0% 87164 26 Dark field examination A $18. CPT Code(s) 88342, 88341 (x3) Print. 88342. Descriptor changes for CPT® codes 20600, 20605, and 20610. 88360 - CPT® Code in category: Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. MAC Jurisdictions in 2016 …. Coding Coach Coding Tips An Independent Licensee of the Blue Cross and Blue Shield Association 1 of 4 New ICD-10-CM Codes Added for Non-Pressure Ulcers (June 2018) There are new ICD-10-CM codes for additional non-pressure chronic skin ulcer diagnoses: L97. 505 – L97. 69 Human Papillomavirus, high -risk types [see note 8] 87624 43. 88371. 88348. 26 $37. Descriptor changes for CPT® codes 20600, 20605, and 20610 CPT® code 0092T (replaced with CPT® code cpt 88341 and 88342 for medicare 2016 PDF download: Medicare Rates and CPT Codes – Updated January 2016 Women's … Jan 1, 2016 … WWC clinical services 2016 CPT CODE LIST …. CPT Code(s): 88342 or 88341. Any endometrioid or clear cell ovarian carcinoma. Level of Service. Please contact Client Services for assistance with coding questions. Mammaglobin. BD cannot and does not guarantee or in any way represent that any codes or coding uses will be viewed as acceptable by the AMA, any private payers, any public payers including Medicare, Medicaid, and other governmental-based programs, or any other payer-related organization. 88342. • 88342 Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure • +88341 each additional single antibody stain procedure • 88344 each multiplex antibody stain procedure. • 88342 Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure • +88341 each additional single antibody stain procedure • 88344 each multiplex antibody stain procedure. The National Cervical Screening Program recommends Pap smears be used as the primary method for screening until there is sufficient evidence indicating the effectiveness of new cervical screening technologies. 22 . 3. Effective 2015, CMS is moving to a single code (G0416) for billing tissue prep and exam for prostate biopsies; the use of CPT code 88305 with respect to prostate is being eliminated. Text: Useful for identification of patients having Lynch syndrome. PDF download: 2019 CPT-4 and HCPCS codes subject to CLIA edits – CMS. MSH6 *If MLH1/PMS2 loss, reflex to MLH1 hypermethylation testing. 97 $67. Alphabetic main page. 58 88341-26 Immunohistochemistry or immunocytochemistry, per specimen; Initial single antibody stain procedure- Professional component $ 31. qualitative. 88341 x3. Medicare Base Units …. Medicare Base Units …. The CPT codes provided are based on AMA guidelines and are for informational purposes only. Line 2 = 97110 GP59 pay. You should report it for the initial single antibody stain procedure on each separate specimen. 00. 0001 - Transrectal Ultrasound; 0002 - Oxygen; 0003 - Apnea Monitors for Infants • 88342 Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure • +88341 each additional single antibody stain procedure • 88344 each multiplex antibody stain procedure. designated staff. 28 $73. exceeded their frequency limitations should be filed with Medicaid on a. ARUP Laboratories assumes no responsibility for billing errors due to reliance on the CPT codes published. If mismatch repair protein IHCs are performed, then CPT Codes 88342 (x1) and 88341 (x3) will be billed. Arthrocentesis. addl. Since 88341 is an add on code do I also append modifier 59 to 88341? Qualitative immunohistochemistry procedure codes 88341-88344 should only be used when other, more specific, procedure codes are not available to describe the performed test, AND For single antibody stains: o One unit of 88342 should be used for the first single antibody applied to a unique specimen. PMS2. Paul, MN 55104 612-273-7838 612-2-SERVE-U Fax: 612-273-0183 As you know, CMS and other third-party payers recently have been scrutinizing CPT code 88305 (histopathology code for most skin tissue specimen). Suite 255 & 315 St. For the purpose of the study, the service units for 88342 in 2012 and 2013, G0461 and G0462 in 2014, and 88341 and 88342 in 2015 to 2017 were analyzed as equivalent IHC codes to examine overall changes in IHC service units over time. Global. 22 $71. Pathologists seeking payment from UnitedHealthcare may use one of two options if they have not already resubmitted claims with a modifier 59 or 91 CPT Code(s)* 88342 x 1 or 88341 x 1; 88360 x 1; 88361 x 1. 83 $29. In anticipation of this new fee schedule we have prepared a sample impact analysis that takes into account both the changes in the 88342 change but the anticipated 88343 pricing and changes as it pertains to these stains. Stains / Test Description CD117 (cKit) is a transmembrane receptor tyrosine kinase. • Local Coverage Determinations (LCDs)/Local Coverage Article (LCAs) exist and compliance with these policies is required where applicable. 76496TC, 76497TC, 76498TC,78429, 78429TC,78430, 78430TC, 78431, 78431TC, 78432, 78432TC, 78433, 78433TC DESCRIPTION OF SERVICE CPT CODE AK RATE PROFESSIONAL TECHNICAL . Payment Policy 92. The surgeon should not append Modifier 59 to these pathology codes unless they pertain to a separate biopsy/excision that does not involve Mohs surgery. 81552 CPT code 81552 is limited to once in a lifetime for any provider and may not be overridden by a TAR. Preventive Services Task Force (USPSTF) and the American College of Obstetricians and Gynecologists (ACOG), Aetna considers annual cervical cancer screening with conventional or liquid-based Papanicolaou (Pap) smears a medically necessary preventive service for nonhysterectomized women age 21 years and older. 88341 Additional stain: Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (list separately in addition to code for primary procedure) 88342 Initial stain: Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure CPT: FISH 88364 Allergy Testing. Add-on CPT code 88341 would CPT Code 88342 x 1 88341 x 1. To do this, Oxford has established maximum frequency per day (MFD) values, which are the highest number of units eligible for reimbursement of services on a single date of service. Renal Pelvis or Ureter Resection (can perform on previous biopsy if no tumor in resection) Upper tract urothelial Carcinoma. Tests Subject to CLIA Edits – CMS 2017 CPT-4 and HCPCS […] Jun 5, 2019 Effective Date: January 1, 2018 This article instructs providers that reporting both Mohs Micrographic Surgery CPT® codes 17311-17315 and Surgical Pathology CPT® 88302-88309, 88331-88332, 88341-88342 or 88344 on tissue used for margin evaluation during Mohs surgery is inappropriate and the Mohs surgery codes will be denied. 00. Level of Service. Although these values represent an increase to the current CY 2016 physician work RVUs they still Special stains (CPT code(s): 88312 (each stain) or 88313 (each stain)) and/or IHC immunohistochemistry stains (CPT code(s): 88342 (each antibody)) may be ordered at the discretion of the pathologist. 33. See Mayo guidelines. Please direct any questions regarding coding to the payer being billed. Stains / Test Description Galectin-3 is a 31 kD beta-galactosidase binding lectin. 33 88342 Immunohistochemistry antibody slide $113. Immunohistochemistry or immunocytochemistry, per specimen; each additional single … KI67 : 88342-Primary 88341-If additional IHC. CPT code 88342 is a primary procedure code and includes “per specimen” in the description. 308L97. 105 – L97. Turnaround Time. 15. 88342 – Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure. AARP health insurance plans (PDF download) Medicare replacement (PDF download) AARP MedicareRx Plans United Healthcare (PDF download) medicare benefits (PDF download) CPT Code 88342 Immunohistochemical staining • 88341, 88342, …. Company Overview Presentation 88342 106. As you are probably aware, there has been a significant change in the unit of service coding rules for IHC codes 88342, 88360 and 88361. 15. Please direct any questions regarding coding to the payer being billed. CPT coding is the sole responsibility of the billing party. 60 Professional Component 88341-26 29. 88341 Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) 88342 Thank you for your question. 18 82. Immunohisto antb 1st stain. medicareallcode. Line 3 = 97110 GP59 reject if supporting documentation not reported Number: 0443 (Replaces CPB 359) Policy. CPT Code 88342 x 1 88341 x 1. 88342 – Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure. Schedule of Fees for Covered Services. CPT code information is copyright by the AMA. 28 $29. 88342; 88341 x3 88342. 59 for 88350. Yes. 97 $93. The surgeon should not append Modifier 59 to these pathology codes unless they pertain to a separate biopsy/excision that does not involve Moh’s surgery. Line 2 = 88341 59 pay. Stain Only *The CPT codes provided with our test CPT Code: "MLH-1, Immunostain" - 88341, 88342 (if appropriate) "MSH-2, Immunostain" - 88341, 88342 (if appropriate) "MSH-6, Immunostain" - 88341, 88342 (if appropriate) and 88361 (using computer-assisted technology) cannot be billed with code 88342 (immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure), unless each procedure is for a different antibody for the same recipient, same provider and date of service. Ii am billing for 88342x2, 88341x3, and 88360x2. Copy this information to the clipboard: Facebook; Instagram; 1-888-814-6277 ©2021 Incyte Diagnostics. 08 $56. CPT Code 88341 is used in conjunction with code 88342. ) just as it is done when working cpt code 80500, 80502, 88300,88309, 88321, 88342 - Laboratory and pathology - Colonoscopy and Endoscopy billing procedure. . In part these guidelines state: 88341, 88342, 88344, 88360, 88361 81445, 81455, 81479, 88341, 88342 • MolDX: HERmark Assay by Monogram 81479 • MolDX: HLA-DQB1*06:02 Testing for Narcolepsy 81383 • MolDX: MDS Fish %88271, %88273, %88274, %88275, %88291 • MolDX: MGMT Promoter Methylation Analysis 81287 CPT Codes*: 88341, 88342, 88360. Immunohisto antd addl slide. Descriptor change for CPT® code 84600. 13103 E Mansfield Ave, Spokane CPT Code 88107 Was Deleted 88104 Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation use 88342) AAPC 2012 Pg 19 However, if a suspected skin cancer is biopsied for pathologic diagnosis prior to proceeding to Mohs micrographic surgery, the biopsy (e. Correct CPT coding is the sole responsibility of the billing party. CPT coding is the sole responsibility of the billing party. 95 88342 Immunohistochemistry $ 116. Thank you 88342 cpt code | Medicare codes PDF. 88341 x3. 80325 … 26. Code 88341 is out of sequence and can only be reported in conjunction with code 88342. 88341. How will this change the coding habits of our practice? A: More and more dermatologists are bringing a dermatopathologist into their practices or are redefining their relationships with outside reference labs regarding how pathology services are purchased and billed. Providers that exceed the 20% criteria may be subject to additional action. 88355. CPT coding is the sole responsibility of the billing party. The CPT codes provided are based on AMA guidelines and are for informational purposes only. 508 L97. Specimen Preparation. 308L97. 66 $193. Stain Only CPT Codes*: 88341, 88342, 88360. Arthrocentesis. 88341 112. Tissue suspected of eosinophil involvement (not blood or body fluids): skin, mucous membrane (oral, genital, ocular), gastrointestinal tract, respiratory tract, solid organ, etc. Line 3 = 88341 59 reject if supporting documentation not reported. 88344 - CPT® Code in category: Immunohistochemistry or immunocytochemistry, per specimen. Provisions of the Social Security Act are applied to specific services based on various regulations, National Coverage Determinations established by the Centers for Medicare & Medicaid Services (CMS), various CMS guidelines, and Local Coverage Determinations (LCDs) established by CGS. CMS-1500 claim … procedure codes (V2020 and/or V2025) identifying fitting of eyeglasses … 88342. Please direct any questions regarding coding to the payor being billed. . Medicare Plus BlueSM PPO Medicare Plus Blue Physician Office Laboratory List Certain lab procedures may be performed in a physician’s office without referring the patient or the specimen to a Medicare Advantage network lab provider. CPT Code 88342 x 1 88341 x 1. JH/JL Providers. Ovary. For IHC, 88342 (first marker) and 88341 (additional marker) replaced G0461 and … Current Issues in Cytology Coding Questions, Quandaries and … Nov 15, 2010 … One view of Reimbursement … CMS's acceptance rate of …. 53 1% 36440 Bl push transfuse 2 yr/< A $59. . It has been associated with binding to the basement 88342 – Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure. It is the responsibility of each laboratory to determine correct CPT codes to use for billing. It is important to understand the new rules and regulations governing the dermatopathology billing by dermatologists. These services will be performed at an additional charge. 03 88342 Immunohistochemistry $108. Yes. Add-on CPT code 88341 would 88342 x 1 88341 x 1 Stains / Test Description Carcinoembryonic antigen (CEA) is usually demonstrated as a linear labeling of the apical poles of cells lining the glandular lumen and occasionally as weak staining near the apex of normal colonic epithelial cells. 87563 One of the following ICD-10-CM diagnosis codes is required on the claim Number: 0352. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement. 19 Professional Component 88342-26 36. coding, coverage, and payment matters. CPT code 88342 is charged for the initial single antibody IHC stain performed on a specimen. CPT code 88342 is a primary procedure code and includes “per specimen” in the description. 81479, 88341, 88342, 0101U, 0104U • MolDX: HLA-B*15:02 Genetic Testing 81381 coverage article is published to address coverage for a specific Category III CPT The notice period for this LCD begins on 12/14/17 and ends on 02/25/18. Ovary. Dec 28, 2016 … Pathology 88305, 88313, 88341, 88342 … 2016 Measure Updates and Specifications Report Facility 7-Day Risk- …. re not part of CPT, and the AMA is not recommending their use. dvha. - San Juan Capistrano, CA | Quest A. BD b. 19 separate gastric biopsies (reported with CPT© code 88305) as compared to ancillary stains (reported with CPT© codes 88312, 88313, and 88342). 905 – L97. 80325 … 26. Immunohistochemistry (CPT codes 88341, 88342, 88344) Physician Work For CY 2015, the CMS accepted the RUC recommended values for the base code 88342 (0. 4. Medicare is denying multiple 88142, 88342 and. *The CPT codes provided with our Test Descriptions are based on AMA guidelines and are for informational purposes only. This process will affect all claims for 88342 that exceeded one unit with a date of services (DOS) on or after January 1, 2014 and processed by UnitedHealthcare on or before May 18, 2014. 88358. • 88342 Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure • +88341 each additional single antibody stain procedure • 88344 each multiplex antibody stain procedure. g. 88341-TC, if additional IHC. PMS2. Please direct any questions regarding coding to the payor being billed. ARUP Laboratories assumes no responsibility for billing errors due to reliance on the CPT codes published. Level of Service. IHC staining Unit of Service Changes for IHC Codes 88342, 88360 and 88361. CPT coding is the sole responsibility of the billing party. CPT code 88305 describes level IV surgical pathology, gross and microscopic examination. Federal Register – US Government Publishing Office. If on review UnitedHealthcare cannot Additional testing may be ordered at the discretion of the pathologist as follows: 88311, decalcification; 88312 or 88313, special stains and/or 88341, 88342, 88344 IHC (immunohistochemistry stains); 88331, Frozen Section (Lubbock Only). Correct CPT coding is the sole responsibility of the billing party. 56 for 88341 and 0. 5. Among the measures was a decision to offset previously announced cuts with an additional $3 billion from the Medicare Trust Fund, allowing each CPT code on the fee schedule to receive a 3. 64 72. PMS2. ) • Codes 88342 and 88341 will be for reporting a single antibody stain procedure • Code 88344 will be used to report a multiplex antibody stain procedure (e. Mammaglobin expression is mostly, although not exclusively, confined to breast tissue, and anti-mammoglobin is, together with a panel of other antibodies, useful for the identification and classification of carcinomas of breast origin. Include path report. MSH2. CPT code 88342 is a primary procedure code and includes “per specimen” in the description. 2 If you disagree with any of these voids or resubmissions, you may submit a Claims Inquiry Form (CIF) within six months of the new RAD date or you may submit an Appeal Form within 90 days of the new RAD CPT Code Mod Description Status NF Payment Final 2016* NF Payment Final 2017** NF Payment % Change 10021 Fna w/o image A $124. 305 – L97. Global: 48 hours, Tech-Only (stain only): 24 hours. duplicate payment for services billed outside of the bundle, such as … CPT ® Code Set 88341 - CPT® Code in category: Immunohistochemistry or immunocytochemistry, per specimen CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Policy. The surgical pathology codes 88300-88309 and 88331-88332 and 88342 are part of the Moh’s surgery and are bundled into 17311-17315. … PHP will accept CPT codes 88342, 88341, and 88344 in 2015. 42 RVUs). *The CPT codes provided with our Test Descriptions are based on AMA guidelines and are for informational purposes only. Special stains are called “special” because they are dyes used to stain particular tissues, structures or pathogens such as bacteria that may not be visible by HEPBC : 88342-TC, primary 88341-TC, if additional IHC 2014 cpt code 2015 cpt code: medicare hcpcs ucomp: drug screen complete 80100: ihc, additional antibodies per specimen 88343 88341 ihc, multiplex stain 88342 Claim Coding Impact. Closed. January 1, 2019, codes 88341 and 88342 are being added to. Turnaround Time. The CPT codes provided are based on AMA guidelines and are for informational purposes only. 2/7/2019. You should report it for the initial single antibody stain procedure on each separate specimen. 40 – C69. Stain Only *The CPT codes provided with our test IHC : MLH-1, Immunostain 88341 (if appropriate) MSH-2, Immunostain 88341 (if appropriate) MSH-6, Immunostain 88341 (if appropriate) PMS-2, Immunostain 88342 (if appropriate) CMS in conjunction with the Public Health Service presented guidelines for diagnosis coding. 80 61% MyPRS™ Test for Multiple Myeloma Gene Expression Profile (CPT code 81479) • Medicare does not have a National Coverage Determination (NCD) for MyPRS™test for multiple myeloma gene expression profile. 42. Access to this feature is available in the following products: 88341-TC Immunohistochemistry or immunocytochemistry, per specimen; Initial single antibody stain procedure- Technical component $68. Please direct any questions regarding coding to the payer being billed. The CPT codes provided are based on AMA guidelines and are for informational purposes only. 88342 and 88341 if immunohistochemistry stains are used. New York Approved. CPT/HCPC Code Modifier Medicare Location Global Surgery Indicator Multiple Surgery Indicator Prevailing Charge Amount Fee Schedule Amount Site of Service Amount DESCRIPTION OF SERVICE CPT CODE AK RATE PROFESSIONAL TECHNICAL Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure 88342 133. cpt code 88341, 88342, 88360, 88331, 88332. When multiple procedure codes are submitted on a claim (unique and/or unlisted) the documentation supporting each code should be easily identifiable. INI1 : 88342-TC, primary 88341-TC, if additional IHC CPT ® Code Set 88344 - CPT® Code in category: Immunohistochemistry or immunocytochemistry, per specimen CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. 64 78. The AMA … Drug screen amphetamines 1/2 – Not payable by Medicare. 88341: 3: AND/OR: Enter the appropriate DEX Z-Code™ identifier adjacent to the CPT ® code in the comment/narrative field for the CPT Code: 88342 (first stain), 88341 (subsequent stains), 88360. … Total equipment time reclassified as EP112. g. Tests Subject to CLIA Edits – CMS 2017 CPT-4 and HCPCS […] (15) Immunohistochemistry (CPT codes 88341, 88342, and 88344; HCPCS codes G0461 and G0462) (16) Morphometric Analysis In Situ Hybridization for Gene Rearrangement(s) (CPT Codes 88364, 88365, 88366, 88368, 88369, 88373, and 88374 and 88377) CPT ® Code Set 88381 - CPT® Code in category: Microdissection (ie, sample preparation of microscopically identified target) CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Coverage for services under Medicare is primarily established through the Social Security Act. CPT-4 codes 88300 – 88309, 88360, 88361, 88367, 88368, 88387 … computer-assisted technology) cannot be billed with code 88342. For New Jersey health care professionals: According to NJ SB 2824 (C. *The CPT codes provided with our Test Descriptions are based on AMA guidelines and are for informational purposes only. Medicare National and Local Coverage Determination Policy – PA, NJ, MD, DC, DE 08/25/15 • Find National Coverage Documents (NCD, NCA, CAL, MEDCAC, TA, MCD, CPI) and Local Coverage Documents (Articles and Policies (LCD)) by providing criteria (e. 02 N/A** $108. Add-on CPT code 88341 would CPT Codes*: 88341, 88342, 88360 *The CPT codes provided with our Test Descriptions are based on AMA guidelines and are for informational purposes only. Note: The information contained in this handbook cpt code 88341, 88342, 88360, 88331, 88332 Procedure code and Description 88312 SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP I FOR MICROORGANISMS (EG, ACID FAST, METHENAMINE SILVER) DA: 13 PA: 79 MOZ Rank: 60 Added CPT® codes 88341, 88342, and 88344. 87 51. Also, Pathology CPT: 88342, 88341, 88377 same DOS, same Physician and different physician, different group, Same DOS. The listed CPT codes reflect Mayo Clinic Laboratories interpretation of CPT coding requirements. 83 0. Medical billing cpt modifiers and list of medicare modifiers. CPT codes for Pap smear are (88141-88175) and HCPCS Codes use to report for both screening and Diagnostic pap smear. 70 3. A: Code 88342, Immunohistochemistry (including tissue immunoperoxidase), each antibody, is reported once for each antibody applied to a single specimen. CPT code 88342 is charged for the initial single antibody IHC stain performed on a specimen. 1. Updated: 2020/08/24 14:55:36. Please direct any questions regarding coding to the payer being billed. For special studies ordered by the consultant from the lab where they practice, separately report the applicable add-on procedure code (88312, 88342, etc. 81301, 81479, 88341, 88342: A55292: MolDX: myPap Billing and Coding Guidelines [PDF] 84999: CPT Code 88107 Was Deleted 88104 Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation use 88342) AAPC 2012 Pg 19 CPT Code Mod Description Status NF Payment Final 2018* NF Payment Final 2019** NF Payment % Change Medicare Physician Fee Schedule Comparison of 2018 RVUs (Updated Oct. Adjustment to impacted claims will be performed. Use the appropriate CPT code in Item 24D on the CMS-1500 claim form (or electronic equivalent) and link it to the applicable ICD-9-CM code listed above under the ICD-9-CM Codes that Support Medical Necessity section. CPT Code(s)* 88342 x 1 or 88341 x 1. 88342. 88341, 88342, 88360. CPT code 88342 is charged for the initial single antibody IHC stain performed on a specimen. New York Approved. Special stains are called “special” because they are dyes used to stain particular tissues, structures or pathogens such as bacteria that may not be visible by CPT coding is the sole responsibility of the billing party. Any endometrioid or clear cell ovarian carcinoma. 88341: 88342: 88360 CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. MSH2. . When multiple sections prepared from a specimen are stained with one antibody, report only one unit of 88342. CPT ® Code Set. 82 Technical Component 88342-TC 70. New York Approved. CPT code 88342 is a primary procedure code and includes “per specimen” in the description. 88341 Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) $97. 88341 immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (list separately in addition to code for primary procedure) 88342 immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure cpt/hcpcs modifiers n/a icd-10 codes that support medical necessity 88341: Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (list separately in addition to code for primary procedure) 88342: Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedures 88341-26 (PC) Inmmunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (list separately in addition to code for primary procedure) 0. re not part of CPT, and the AMA is not recommending their use. 908 For example; use of multi CPT codes on same day same physician 85390,85396, 86255 and then with different physician, Different Group, same DOS. The code descriptor reads: The code descriptor reads: Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) the target for … for CPT codes 88341, 88342, and 88344, as well as … Final rule – Amazon S3. Q: In order to obtain speedy and accurate pathology reports, we’ve decided to add a pathologist to our practice. The third most common Part B service during the study period was the 88313 CPT code (special stained specimen slides to examine tissue, including interpretation and report). Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure 88344 • CPT code 88342 – One (1) unit of service • CPT code 88341 – Three (3) units of service To report a MSI service, please submit the following claim information: • CPT code 81301 – One (1) unit of service To report by NGS, please submit the following claim information: • CPT code 81479 – One (1) unit of service Level IV, Surgical Pathology (CPT Code(s): 88305); Histopathology Special Stains-Miscellaneous (CPT Code(s): 88313); Immunostain(s) with Interpretation (CPT Code(s): 88342 for first and 88341 for each additional). 1-50. For non-government carriers no changes were made. 81455 * * Other possible CPT Codes may include 81479 paired with an appropriate Z-Code™. 22 $143. 305 – L97. 91332. interprets the pathology slides. 505 – L97. 220, 610. PHP will accept CPT codes 88342, 88341, and 88344 in 2015. The AMA … Drug screen amphetamines 1/2 – Not payable by Medicare. PDF download: 2019 CPT-4 and HCPCS codes subject to CLIA edits – CMS. 88372. 72 $18. 908 University of Iowa Diagnostic Laboratories (UIDL) Test Directory 319-384-7212 (local) 1-866-844-2522 (toll free) CPT Code Description Non-Covered 0231T Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with ultrasound guidance, lumbar or sacral; each additional level (List separately in addition to code for primary procedure) (Deleted 12/31/2020 – See 64999) 0232T (10) Intrastromal Corneal Ring Implantation (CPT Code 657XG) (11) Dilation and Probing of Lacrimal and Nasolacrimal Duct (CPT Codes 66801, 68810, 68811, 68815 and 68816) (12) Spinal Instability (CPT Code 7208A, 7208B, 7208C, and 7208D) (13) Echo Guidance for Ova Aspiration (CPT Code 76948) (14) Immunohistochemistry (CPT Codes 88341, 88342, and CPT CODE 87086, 87186, 87184, 87088 - Medicare Guidelines CPT CODE and description 87086 - Culture, bacterial; quantitative colony count, urine - average fee amount - $10 - $20 View medical clinical policy bulletins in numeric order. 72 $20. Yes. 88342: 1: IHC-ea. No coverage, coding or other substantive changes (beyond the addition of the 3 Part B contract numbers) have been completed in this revision. 88342. 53 0% 10022 Fna w/image A $143. MLH1. Global: 48 hours, Tech-Only (stain only): 24 hours. Renal Pelvis or Ureter Resection (can perform on previous biopsy if no tumor in resection) Upper tract urothelial Carcinoma. If both codes are submitted on the same day for the same patient, the CCI edit program will deny the aspiration procedure unless a modifier is used appropriately. Friday, March 3, 2017 cpt 88341, 88342 - Lyncy syndrome Hoping someone can help me with this. g. Added code CPT® codes 20604, 20606, and 20611. 88342-TC, primary. Since only one antibody marker was used for the axillary tail specimen, bill one unit of 88342. MSH2. LOINC® Information Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the order and results codes of this test. Turnaround Time. , PIN-4, ADH-5, Uro-3 Triple stain) • Code 88344 can only be reported when the two or three different antibodies used show precisely which are staining positive and which are not • 88341 … each additional single antibody stain procedure (List separately in addition to code for primary procedure) • (Use 88341 in conjunction with 88342 ) • 88344 …each multiple antibody stain procedure Codes 88342, 88341 & 88344 pertain to . . 88341 is used in conjunction with code 88342. Hematoxylin and eosin (H&E) staining is included in the billing CPT code and is not a separately billable service. cpt code 80500, 80502, 88300,88309, 88321, 88342 – Laboratory and pathology Lori March 25, 2011 Uncategorized No Comments Laboratory and pathology codes during colonoscopy episode cpt 88342 billing to medicare. MLH-1, Immunostain. CPT code 88342 is a primary procedure code and includes “per specimen” in the description. Developed LCD “Coding Guidelines” attachment. 08 $37. cpt 88341 and 88342 for medicare 2016 PDF download: Medicare Rates and CPT Codes – Updated January 2016 Women's … Jan 1, 2016 … WWC clinical services 2016 CPT CODE LIST …. MSH6 Procedure / Surgical Code Look up. Document Id, Geographic Area, Keywords, CPT/HCPCS codes, NCA/CAL Status, Benefit Category, Date Criteria, and ICD-9 codes). a) Immunohistochemistry and Immunofluorescence (CPT Codes 88341, 88342, 88344, and 88350) 88341 and 88350 For CY 2017, the CMS is proposing physician work values of 0. 88346. . The code descriptor reads: Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) 88342. 17B:30-51), Clinical Policy Bulletin changes are not effective until 30 days after the Last Review Date. Best Deals From www. 88381; 81235; 88342; 88341; if reflexed, add 88366 From 2015 to 2017, the two CPT codes for IHC staining were 88342 and 88341, in which 88342 was used for the first IHC performed and 88341 for each subsequent IHC. Test ID Test Order Name CMS in conjunction with the Public Health Service presented guidelines for diagnosis coding. Global. Please note this document has been updated with National Medicare changes effective 4/1/2012 Medical Policies. co Reimbursable Codes. 69 99070 Supplies and materials (except spectacles), provided by the physician over and above those usually included with the the pre-procedure evaluation of the … Pathology 88305, 88313, 88341, 88342. Level of Service. 65 $37. Physical therapy services. AARP health insurance plans (PDF download) Medicare replacement (PDF download) AARP MedicareRx Plans United Healthcare (PDF download) medicare benefits (PDF download) CPT code 81522 when billing for EndoPredict. 88341 Inmmunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (list separately in addition to code for primary procedure) 88342 Inmmunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure 88720 Bilirubin Total Transcutaneous 1690 University Ave. 33 Human Papillomavirus, types 16 and 18 only [see note 8] 87625 43. The real issue here is how to bill multiple 88342’s. Company Overview Presentation Per the 2014 AMA CPT text, the following descriptions are given for CPT codes 88360 & 88361: • 88360-Morphometric analysis, tumor immunohistochemistry (e. Stain Only cpt 88342 billing to medicare. 220, 610. MLH1. CPT Code MOD DESCRIPTION 2015 Payment 2016 Payment 2017 Payment % Change 2016-2017 88342 26 Immunohisto initial antibody stain $36. CPT Code(s) 88342, 88341 (x3) Not offered in Quest Infectious Disease Inc. vermont. Non-covered testing: Line 1 = 88341 pay. You should report it for the initial single antibody stain procedure on each separate specimen. MIPS: Error in 2019 Payment Adjustment testing is performed including application or patch testing, the code for photo patch testing (CPT code 95052) is to be reported, not CPT code 95044 (patch or application tests) and CPT code 95056 (photo tests). 98 $65. 56 0. 58 81319, 81403, 81435, 81479, 88341, 88342, 88344 • *Glycated Hemoglobin/*Glycated Protein %83036, %82985 • Hepatic (Liver) Function Panel 80076 • Hepatitis B Surface Antibody and Surface Antigen %86706, %87340 • *Hepatitis Panel/Acute Hepatitis Panel 80074 • High Sensitivity C-Reactive Protein (hsCRP) %86141 Jun 25, 2014. 0 (Telephone Calls) is a new policy for 2015. Please direct any questions regarding coding to the payor being billed. 79 $29. Aetna considers any of the following serum tumor markers for the stated indication medically necessary: Prostate-specific antigen (PSA) for prostate cancer screening (see CPB 0521 - Prostate Cancer Screening), staging, monitoring response to therapy, and detecting disease recurrence 88342. Based on Medicare Part B Rates and effective January 1, 2016. These services will be performed at an additional charge. Before we Get timely provider information including policy, benefits, coding or billing updates, education, and more—delivered directly to your email. One of the following ICD-10-CM diagnosis codes is required on the claim: C69. Please direct any questions regarding coding to the payer being billed . 88342 maximum frequency PDF download: Connections March/April 2015 – Providence Health Plan time-based therapy codes. Order complimentary Hematoxylin and eosin (H&E) staining is included in the billing CPT code and is not a separately billable service. 88312 and 88313 if special stains are used. Add-on CPT code 88341 would Codes 88341 and 88342 apply when a pathologist reports an IHC stain using qualitative expression. 33 2. south carolina medicaid program – SC DHHS. cpt code 88341 and 88342