Wiki 88305

[userd5249]

We have 4 offices that we have been doing biopsy’s and billing the 88305. My question is all 88305 are being billed out of the main office under the same Clia and the MAIN Doctor. I’m just trying to find out if we are billing this correctly. Should we be billing this under the prover that’s did the biopsy or is it ok to bill it all under the main provider. The main provider is NOT in the office most of the time. Which is understandable because the provider can not be in all 4 locations at once.

 

[arozance27]

Are you billing 88305 globally, or only the PC/TC component?

 

[userd5249]

PC/TC component I believe because when we bill it out we use the 88305-TC modifier and sometimes with a 59 modifier after the TC.

 

[arozance27]

Ok, then you would bill from the location where the specimen is processed under the lab director.
The PC component is billed by the dermpath who interprets the slide at the location where the read is performed.

 

[userd5249]

How would it be billed if it was globally? Thank you so much for your response.

 

[arozance27]

Would need to know where your dermpath is reading the slides.
Where is the lab, etc.