• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

88305

  1. A

    Wiki 88305 Bone Marrow cases to Humana

    We are billing pathology services for bone marrow cases. I have not been able to determine why Humana will deny 88305 or 88305x2 (bone marrow biopsy and/or clot) for bundling. We have called Humana and they are unable to tell us what it is bundling to. Does any else get this denial and have you...
  2. T

    Wiki Medicare Denial of 88305 when billed with an unrelated MOHS

    We are a dermatology practice with a doctor that specializes in MOHS (and is a histophathologist). We also employ ARNP's who will occasionally do excisions of skin cancers on the same day a MOHS is performed, which results in an 88305 charge. The pathology is read by our doctor-the...
  3. T

    Wiki Medicare Denial of 88305

    We are a dermatology office whose doctor is a certified dermatopathologist as well. He can perform MOHS. We have come across a new issue with Medicare when billing MOHS and a separate pathology on the same day. Here is an example: Patient comes in and has MOHS done on the arm by the doctor. The...
  4. M

    Wiki Medicare denial for 88305 and 88342

    I got denial for 88305 and 88342 from Medicare. According to remittance advice modifier(S) was missing. Do I need to apply modifier 59 to 88305? I am confused I did not know that any modifier needed for those codes.
  5. B

    Wiki If one of 2 specimens is no charge for 88305, how are IHC done on each billed?

    I have a case for which the surgeon submitted 2 separate specimens from the same location (breast biopsies) - submitted as A & B. Actin and p63 were done on each, A & B. The pathologist has asked to no-charge B for 88305, but requests for the IHC 88342, 88341 X 3. My thinking is that since...
  6. T

    Wiki help needed with pathology date

    We have a pathologist joining our practice who will be doing nothing but reading the slides from bone marrows done in our office. (This is a new area for me so bear with me and I'm sorry if it's been asked and answered already!) We're having a problem with determining the date we should use...
Top