• 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..

Wiki 88304 vs. 88305

Create Wiki
I

irishhawk

Guest
Messages
45
Best answers
0
Hello all! I'm brand-spankin' new to derm path coding. I have a good mentor here in the office; but she's not always available. Can anyone recommend a reference to use to help decide where a diagnosis fits ? As an example, what about an Eschar?
My basic rules thus far; cicatrix/cyst/skin tags/abcess/lipoma/wounds unless from a previous biopsy are 88304s.
Every day I see more and more skin problems and know I'll need a good resource.
Thanks in advance!
Megan, CPCHa
 
I have the coding handbook as well, but I have found the scar section to be vague at best. I also have questions.

Dx: Dermal scar and mixed inflammatory infiltrate.
Micro: These are nonspecific findings, but they may represent the sequela of a ruptured epidermoid cyst, although no cyst wall or its contents are identified."

Would this be an 88305 as I do not believe it is a simple scar or 88304 because it "may represent the sequela of a ruptured epidermoid cyst?" :confused:
 
Last edited:
Indeed, even the handbook doesn't cover every situation. :( We continue to struggle with some bone specimens, but that's another topic.

For this case, I agree. I would code this 88305 and use the diagnosis codes of 709.2 and 686.9, as long as it wasn't a reexcision of a previously diagnosed lesion. The micro confirms non-specific findings and says "MAY represent," which is also non-specific.
 
bbooks said:
This is a terrific resource, but it is a paid subscription. My office subscribes and finds it quite valuable. https://www.apfconnect.org/pathology-service-coding-handbook.php
Click to expand...
I don't have access to this book but I had a question and was hoping you could assist me. Is it true that a provider can bill up to nine units for 88305 then 10 to 20 they use
G0416? I don't just mean on prostrates but any time when this procedure is used?
 
You must log in or register to reply here.
Top