Results 1 to 3 of 3

New Cytopathology FISH Code

  1. #1
    Default New Cytopathology FISH Code
    Medical Coding Books
    I was wondering if anyone knows of a place I can find a complete (better), full description of the new pathology codes for the Cytopathology FISH tests - 88120 & 88121. This is what I have been able to find...

    88120 - Cytopathology, in situ hybridization (eg FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual

    88121 Using computer-assisted technology

    My physician wants additional information and I have not been able to find any... Please help???

    Thank you,

  2. #2
    Charm City Baltimore
    Post More info- 88120, 88121
    Not sure if this is what you were looking for but..........I got this information from two different websites: CAP's website and Highmark Medicare. I hope you find something you can use.

    For 2011, new CPT codes 88120 and 88121 were established, at payers' request, to report fluorescence in situ hybridization evaluations of urologic cytology specimens for urothelial carcinoma using multiple probes. Codes 88367 and 88368, previously used to report these services, were established and valued in 2005 to report FISH evaluations of the HER2 gene using a single probe or, nonroutinely, multiple probes. Because codes 88367 and 88368 were not valued for reporting multiple probes, the request was to have 88367and 88368 revalued, or to establish new codes for UroVysion services.

    Medicare will consider the Urinary FISH test medically reasonable and necessary in the following circumstances:

    * In the initial diagnosis of persons with hematuria suspected of having bladder carcinoma, in conjunction with, and NOT IN LIEU of current standard diagnostic procedures. Therefore it is expected that Initial urinary FISH studies are performed in conjunction with cystoscopic evaluation.
    * In the monitoring for tumor recurrence in conjunction with cystoscopy in patients with previously diagnosed bladder cancer.
    * Monitoring for additional recurrence after one or more recurrences have been treated.

    The urinary FISH test for recurrent bladder is not considered medically reasonable or necessary under the following circumstance:

    * When performed to provide additional confirmatory information after a diagnosis of bladder cancer recurrence has already been determined.

    Medicare will consider Bladder Tumor Antigen Stat testing medically reasonable and necessary under the following circumstances:

    * The patient must have a prior diagnosis of bladder cancer.
    * The patient is being monitored for a status/recurrence/metastasis of bladder cancer in conjunction with cystoscopy.

    Consistent with the above, Medicare expects that the urinary FISH study will be used no more frequently than cystoscopy, and may be used additively or substituted for conventional urine cytology depending on the grade of the tumor and potential diagnostic yield. The first FISH study as the diagnosis of urothelial cancer is being established will be coded with the appropriate morphometric analysis code 88120 or 88121, and with the appropriate neoplastic diagnosis required. Subsequent studies will be additionally coded with the V-code, V49.89 OTHER SPECIFIED CONDITIIONS INFLUENCING HEALTH STATUS, to indicate that repeat testing is believed to be medically reasonable and necessary.

    Urinary cytogenetic studies will not be covered if the patient has signs or symptoms of hematuria or an active infectious/inflammatory condition at the time of the testing (e.g. cystitis, urethritis, or prostatitis).

  3. #3
    Default Thanks
    Thanks so much, that gave me so much more information. I did not find that in my searchs. Have a great day and thanks again!!

Similar Threads

  1. Help on FISH
    By ehughes in forum Auditing General Discussion
    Replies: 1
    Last Post: 10-22-2015, 03:11 PM
  2. Cytopathology
    By normal660 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-30-2014, 04:16 PM
  3. Fish bone in tonsil
    By nbohm in forum General Surgery
    Replies: 1
    Last Post: 09-25-2013, 01:47 PM
  4. Help with fish hook in cheek
    By ggparker14 in forum Diagnosis Coding
    Replies: 1
    Last Post: 09-12-2011, 05:01 PM
  5. cytopathology smears
    By 00056831 in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 07-19-2010, 03:00 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.