Whitney
Contributor
Hello,
We have pathology lab in our clinic and bill globally for our pathology services. However, when our dermatopathologist sends out a specimen to another laboratory for an expert opinion, we have been billing the pathology codes for these specimens with the technical component only. It has come to our attention that we should actually be billing for the global service, as the physician did also perform the professional component prior to sending off for an expert opinion. The consult lab is actually billing 88321 or 88323, not our pathology code with the 26 modifier.
Does anyone have information on this scenario, or has the same scenario in their practice on how to properly bill?
Thank you so much for your advice.
We have pathology lab in our clinic and bill globally for our pathology services. However, when our dermatopathologist sends out a specimen to another laboratory for an expert opinion, we have been billing the pathology codes for these specimens with the technical component only. It has come to our attention that we should actually be billing for the global service, as the physician did also perform the professional component prior to sending off for an expert opinion. The consult lab is actually billing 88321 or 88323, not our pathology code with the 26 modifier.
Does anyone have information on this scenario, or has the same scenario in their practice on how to properly bill?
Thank you so much for your advice.