Compensation crisis related to the onsite adequacy evaluation during FNA procedures-Urgent proactive input from cytopathology community is critical to establish appropriate reimbursement for CPT code 88172 (or its new counterpart if introduced in the future)

Author:

Dhillon Inderpreet1,Pitman Martha B.2,DeMay Richard M.3,Archuletta Pamela1,Shidham Vinod B.1

Affiliation:

1. Department of Pathology, Wayne State University School of Medicine and Detroit Medical Center, Detroit, MI

2. Massachusetts General Hospital, Harvard Medical School, Boston, MA

3. University of Chicago, Chicago, IL

Abstract

The confusion centered around appropriate use of the CPT billing code 88172 is addressed in the commentary from the Economic and Government Affairs Committee of the American Society of Cytopathology (ASC) who have written a timely commentary in this issue of Cytojournal, “Adequate Reimbursement is Crucial to Support Cost-Effective Rapid Onsite Cytopathology Evaluations”. Currently, lack of standardized use within and between pathology departments is stirring unhealthy practices of denying reimbursements for this critical and legitimate cytopathology service. This editorial discusses the important concerns raised in this commentary and recommends immediate corrective action. (See also Al-Abbadi MA, et al. Adequate reimbursement is crucial to support cost-effective rapid on-site cytopathology evaluations. CytoJournal 2010;7:22)

Publisher

Scientific Scholar

Subject

Pathology and Forensic Medicine

Reference13 articles.

1. Adequate reimbursement is crucial to support cost-effective rapid on-site cytopathology evaluations;Al-Abbadi;CytoJournal,2010

2. Chapter 10, Laboratory Services CPT Codes 80000 - 89999, pages 13-14, point# 6. The unit of service for CPT code 88172. National Correct Coding Initiative Coding Policy Manual for Medicare Services (Coding Policy Manual)

3. When and how to use CPT code 88172: PAP/NGC Programs review;Moriarty;CAP Today September,2006

4. College of American Pathologists. Medicare relative values for cytology services- Nongynecologic cytology

5. Value of having a cytopathologist present during percutaneous fine-needle aspiration biopsy of lung: Report of 55 cancer patients and metaanalysis of the literature;Austin;AJR Am J Roentgenol,1993

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