- May 18, 2020
- Attending Physician
I have been reading comments on this site for the last 10 years and agree with most commenters that the job market (private practice) has worsened steadily over that time period. Now retired I want to start a thread and entertain comments on how the CPT coding break for reimbursement has contributed to this. I always have worked in practices were we all read everything including the sacrosanct derm. This leads to my perspective and bias. The rise of pod labs where someone labels their-self as a GU pathologist but only reads prostate and similar GI and even derm labs in my opinion has denigrated our profession. What these labs all have in common is that for the most part they only read 88305. We general pathologists read all of the resections including frozen skin margins (including melanoma without having the bx to review). Why is this so? My opinion is that the CPT specific labs arose to make money and not needed expertise as they claim. If it were about expertise then where are the breast, bladder, liver, and lung biopsy labs? Why don' t anatomic site specific labs insist on reading the resections or at leas reviewing them to ensure their quality control?