• Set Yourself Up For Success Webinar

    October 6, 2021 at 2 PM Eastern/11 AM Pacific
    SDN and Osmosis are teaming up to help you get set up for success this school year! We'll be covering study tips, healthy habits, and meeting mentors.

    Register Now!

  • Funniest Story on the Job Contest Starts Now!

    Contest starts now and ends September 27th. Winner will receive a special user banner and $10 Amazon Gift card!

    JOIN NOW
  • Site Updates Coming Next Week

    Site updates are coming next week on Monday, Wednesday, and Friday. Click the button below to learn more!

    LEARN MORE

Anatomic CPT coding contribution to downward spiral of private practice

RE-Tired

Full Member
May 18, 2020
15
22
36
  1. 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?
 

mikesheree

SDN Lifetime Donor
10+ Year Member
Feb 27, 2010
1,961
1,163
276
comfortably retired
  1. 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?

Well you said it all. The main reasons are money, money and money.


Sent from my iPad using Tapatalk
 

KeratinPearls

Full Member
10+ Year Member
Apr 3, 2007
1,266
301
266
  1. Fellow [Any Field]
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?

Well, yeah it’s obvious. It’s because of the money. Why do you think derm is one of the most competitive fieldS? You think people really love looking at skin?

Anyone know the status of Pod labs? They are here to stay? I know CAP got that lawyer (Jane Pine Wood) to perform that study showIng that there are more biopsies coming from these labs. Haven’t heard much since.
 
Last edited:
About the Ads

WEBB PINKERTON

Full Member
10+ Year Member
Dec 16, 2010
1,878
704
266
  1. Non-Student
More biopsies is a good thing. It equals more jobs.

I noticed Jane Pine Wood went to work for bioreference labs/opko health. I thought that was kind of funny after the articles about them on street sweeper.
 

WEBB PINKERTON

Full Member
10+ Year Member
Dec 16, 2010
1,878
704
266
  1. Non-Student
Looks like he is doing well despite all that has happened.


He overcame that case and his libel case from years ago.


I also noticed David Bostwick is still around.


Is Tennessee where prostate experts end up?
 

RE-Tired

Full Member
May 18, 2020
15
22
36
  1. Attending Physician
Anecdotes- I once interviewed for a part-time position. In the interview with one of the GI pathologists in the group was the comment that only the GI pathologists read the colon biopsies. So I asked about colon resections and was told any of the pathologists could sign them out. Another comment:
Got to work with many junior residents (remember we read derms in our practice). Some were terrified of them, sending banal nevi to the dermpath for consultation. Could not blame them, most got little training in skin in residency. I actually have a very high respect for dermatopathologists, I just don't believe every skin biopsy needs to be read by one. A general pathologist can learn with training what needs to be sent for review.
 
About the Ads
This thread is more than 1 year old.

Your message may be considered spam for the following reasons:

  1. Your new thread title is very short, and likely is unhelpful.
  2. Your reply is very short and likely does not add anything to the thread.
  3. Your reply is very long and likely does not add anything to the thread.
  4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
  5. Your message is mostly quotes or spoilers.
  6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
  7. This thread is locked.