Anastomosis surgical margins

annettebec

Networker
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Swartz Creek, MI
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How would you code out Specimen B.
Specimen A is a resection colon, malignant 88309
Specimen B is a anastomosis surgical margin

Any help appreciated
 

danachock

Expert
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306
Location
Brainerd, MN
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Hi annettebec,
88305 - the primary specimen is malignant; I don't have your pathology report, but I am confident that your pathologist embedded the entire specimen for review to confirm the margin was "free of malignancy". Did you only receive one specimen for Specimen B? I typically received two - one with ink, a stitch or possibly two stitches to differentiate the location for pathological review. If I had received two specimens and can distinctly identify one specimen from the other - I would have billed 88305x2 for Specimen B.
Thank you for listening and have a wonderful evening,
Dana Chock, CPC, CANPC, CHONC, CPMA, CPB, RHIT
 
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