Tom; Check out the following paper...I think it might help. McCoy JP: Medicaid and Medicare Reimbursement for Flow Cytometry. Am J Clin Pathol, 115:631-641, 2001. best regards; Phil J. Philip McCoy, Jr., Ph.D. Director of the Flow Cytometry Core Facility NHLBI - NIH Bldg 10, Rm 4A07 10 Center Dr., MSC 1357 Bethesda, MD 20892 > -----Original Message----- > From: Tom Sawyer [mailto:TSAWYER@MCO.EDU] > Sent: Monday, September 30, 2002 11:35 AM > To: Cytometry Mailing List > Subject: Technical Fees for CPT 88180 > > > > Dear Clinical Cytometry Colleagues- > > I am currently involved in an ongoing discussion > (translated-argument) > with our hospital administration on appropriate pricing for > immunophenotyping of leukemia and lymphoma panels. The > pricing they are > proposing is based upon data provided from a data base company and the > few figures I have been able to get my hands on amaze me. As > most of you > are aware, immunophenotyping is billed under CPT code 88180 on a per > marker basis. The prices provided by the data base company range from > single digits to over $1K. It seems obvious to me (but I could be > wrong) that some of the values in the companies data base are > the price > for a full panel, not the price per marker. Needless to say, when one > uses this data and calculates a mean it is slightly skewed to the high > side. I think my only chance of convincing the powers at be that they > are using faulty data for decision making is to do my own > mini survey. I > would deeply appreciate any of you providing me with the price per > marker charged by your institution. This info will be kept > confidential. > Please respond directly to me as we really shouldn't clutter > the mailing > list with this relatively meaningless drivel. I will compile the data > after a week or two. If you are interested in the results please > indicate so in your reply and I will send them to you when completed. > Thanks in advance. > > Tom Sawyer > Flow Cytometry Specialist > Flow Cytometry Laboratory 32HE > Medical College of Ohio > 3055 Arlington Ave. > Toledo, OH 43614-5806 > Phone: 419.383.4212 > Fax: 419.383.3076 > email: tsawyer@mco.edu >
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