Wiki 88305 with modifier 22 - I am wondering if anyone has experience

[m214186]

I am wondering if anyone has experience with laboratories billing codes 88302-88305 with a modifier 22? This does not seem appropriate since a unit of service is defined as the specimen itself. According to the pathologist these are larger than normal specimens. Again i would expect to see this modifier used on the surgeon's CPT charges, not the pathologists. Any advice?

Thanks,
Sara Frail CPC

 

[ajs]

I am wondering if anyone has experience with laboratories billing codes 88302-88305 with a modifier 22? This does not seem appropriate since a unit of service is defined as the specimen itself. According to the pathologist these are larger than normal specimens. Again i would expect to see this modifier used on the surgeon's CPT charges, not the pathologists. Any advice?

Thanks,
Sara Frail CPC

That modifier is not allowed on laboratory codes.

 

[mannlx]

we do a lot of transplants at our hospital and when the pathologist exams the biopsy of a transplant pt he evaluates it on many criteria and it is 2 pages of results, but still we just bill 88305 ( for example an intestinal bx) so although I can see why your pathologist may want you to use the 22 it is not done.
happy holidays to all