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Pathology/Lab Coding Alert

You Be the Coder:

Beware Date-of-Service Edits

Published on Thu Apr 07, 2016

Question: The pathologist examined specimens from a double mastectomy, identifying cancer in both breasts. The pathologist evaluated findings from an automated system to quantify staining of both tumors for ER, PR, Her-2 neu, and Ki57. We reported the service as 88361-26 x 8, but received a rejection. What could be wrong? Arkansas Subscriber Answer: If the payer is Medicare or one that [...]
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