AAPC - Back to school
Results 1 to 6 of 6

Thread: Global billing for pathology service

  1. #1

    Default Global billing for pathology service

    AAPC: Back to School
    If you have 1 tax id number, but you are peformed technical component in one state and sending the slides to another state to be read by a pathologist employed by the same lab, should this be billed globally or spilt? If globally which state should billed- the one performing the reading or the one preparing the slides.

  2. #2


    Is this for a pathology specimen submitted by a separate entity other than the company you are billing the service for?

  3. #3


    Urology is sending the specimens to us.

  4. #4


    What I'm reading is that a urologist office takes a specimen and submits it to your laboratory.

    Your laboratory then prepares the slides and then sends them to another laboratory, still same company, in another state for the physician to review, interpret and create a report? Both of these laboratories are

    Am I understanding correctly?

  5. #5


    Yes, you are correct same tax id, but different NPI numbers.

  6. #6


    Okay, well, after giving this some consideration I would recommend contacting your primary carriers in the state the test is performed in. They may have specific guidance on any state law(s) that may pertain.

    Considering that both services are done by the same company, same tax ID number (I presume same specialty of pathology?), it would seem that this would fall into a "contractual" issue where the "billing provider" receives the entire global payment and has a contract with another provider to perform a portion of the service for payment.

    Having said that, it also would seem within the company there would be some type of policy on splitting payment for professional and technical components between the two providers. With that in mind, perhaps also check with your company financial officer.

    I know this probably isn't a ton of help, but hopefully some.

    Let me know what you find out, perhaps it will help me in the future.


Similar Threads

  1. Pathology place of service
    By s3.cook@yahoo.com in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 08-28-2015, 10:37 AM
  2. Place of service for pathology
    By patwesner in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 10-02-2013, 06:56 AM
  3. Pathology place of service
    By anknight77 in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 01-31-2013, 06:59 AM
  4. pathology/ billing for global and technical
    By codergirl.123 in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 07-25-2012, 06:38 PM
  5. Pathology Service Coding Handbook
    By EmilyLitella in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 06-02-2011, 12:23 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.