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...
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