kduty
Contributor
What is the best way to code additional IHC stains done to a pathology report by another pathologist?
The original pathologist ordered another IHC and asked a colleague to read and sign out an addendum since he was going on vacation. The second pathologist did a corrected report instead of an addendum so made things way more complicated.
Any suggestions to pass on to the pathologists would be very appreciated.
Origianal Pathologist:
Immunohistochemical stains were performed with appropriate controls. The tumor cells are positive for synaptophysin (88342) and negative for CDX-2(88341). A CD45(88341) stain was performed and highlights infiltrating lymphocytes and is negative in tumor cells. An Alcian blue stain(88313) with appropriate control demonstrates intestinal metaplasia with no evidence of infiltrating signet ring cells.
Corrected addition by second pathologist:
Ki67(88341?) IHC (controls appropriate) shows positivity in approximately 1-2% of neoplastic cells.
The original pathologist ordered another IHC and asked a colleague to read and sign out an addendum since he was going on vacation. The second pathologist did a corrected report instead of an addendum so made things way more complicated.
Any suggestions to pass on to the pathologists would be very appreciated.
Origianal Pathologist:
Immunohistochemical stains were performed with appropriate controls. The tumor cells are positive for synaptophysin (88342) and negative for CDX-2(88341). A CD45(88341) stain was performed and highlights infiltrating lymphocytes and is negative in tumor cells. An Alcian blue stain(88313) with appropriate control demonstrates intestinal metaplasia with no evidence of infiltrating signet ring cells.
Corrected addition by second pathologist:
Ki67(88341?) IHC (controls appropriate) shows positivity in approximately 1-2% of neoplastic cells.