Advanced Search

Pathology/Lab Coding Alert

Reader Question:

88261 Shouldn't Double Up for One Study

Published on Mon Aug 08, 2011

Question: Our lab runs a chromosome analysis for growth retardation that involves counting 10 cells for one karyotype. Can we code this as 88261 x 2 since we count 10 cells instead of five?Texas SubscriberAnswer: No, you should not code the chromosome analysis you describe using two units of 88261 (Chromosome analysis; count 5 cells, 1 karyotype, with banding).Cytogenetic codes 88230-88299 are "building block" codes. You should select the appropriate codes in the range that describe each step that your lab performs for a complete  cytogentic study.In your case, the lab performs a chromosome analysis involving one karyotype and counting 10 cells. You should report the service as 88261 plus 88285 (... additional cells counted, each study).Single unit: Notice that you should list only one unit of 88285 for the five additional cells counted, not 88285 x 5. That's because the code definition states that the unit is "each study."You'll [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pathology/Lab Coding Alert

View All