Results 1 to 3 of 3

Tissue Lab Billing for Dermatology

  1. Default Tissue Lab Billing for Dermatology
    Exam Training Packages
    I am hoping someone can help with this question. We are receiving numerous denials from WPS....Medicare for consolidated billing. We have a tissue lab that bills for 88305 mod 26. We prepare the slide only. We did not read out the slide. We prepared the slide for a doctor outside of our dermatology group to read, so we are only performing the technical compotent , but our claims are being denied because the patient just happens to be at a hospital lab that day getting an x-ray, urine test, or blood test, that is totally unrelated to the tissue/skin biopsy sent to our tissue lab. The doctors are totally unrelated.

    How do we prevent these claims from being denied?

    Thank you for any help on this matter.

  2. #2

    We are having the same problem. Did you ever come to a resolution for this? We are a dermatology practice that processes the pathology in our own pathology lab. We just recently started receiving these denials. We have contacted WPS and they told us they fall under the Consolidated Billing. We went as far as to bill the hospital. Any information that you have is appreciated.


    Whitney Coverdale, CPC

  3. Default
    If you are preparing the slide then wouldn't you use the TC modifier and the outside doctor would use the 26? He is doing the report and should be the 26 I would think.

Similar Threads

  1. billing for corneal tissue in an ASC
    By leren44 in forum Outpatient Facilities
    Replies: 2
    Last Post: 09-14-2017, 02:05 PM
  2. Dermatology billing opportunity
    By armen in forum Dermatology
    Replies: 0
    Last Post: 12-09-2013, 12:30 PM
  3. Billing for corneal tissue
    By leren44 in forum Ophthalmology/Optometry
    Replies: 1
    Last Post: 07-26-2013, 07:24 AM
  4. Billing New Patient Office Visit for Dermatology
    By kerrlau in forum Billing/Reimbursement
    Replies: 1
    Last Post: 11-21-2012, 02:41 PM
  5. Billing For Tissue Expanders
    By wintermwill80 in forum Plastic Surgery
    Replies: 2
    Last Post: 09-30-2008, 04:35 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.

Get OurFREE2017SalarySurvey.

We'll email you a link to our 2017 Healthcare Salary Survey when it is available so you can see your earning potential.