Hi,
I am new to pathology coding and am trying to determine what constitutes evaluation of surgical margins in a pathology report for a breast excision of lesion, requiring microscopic evaluation of surgical margins. In the reports I have seen, the pathologist are only documenting (along with the breast biopsy), "The medial margin is inked blue", "The anterior margin is inked yellow". Nothing further, nor is there anything noted in the diagnosis regarding the margins. Is the fact that they simply mention the margins in the report enough to code for 88307?
Any guidance is appreciated!
Thanks!
Kathleen
I am new to pathology coding and am trying to determine what constitutes evaluation of surgical margins in a pathology report for a breast excision of lesion, requiring microscopic evaluation of surgical margins. In the reports I have seen, the pathologist are only documenting (along with the breast biopsy), "The medial margin is inked blue", "The anterior margin is inked yellow". Nothing further, nor is there anything noted in the diagnosis regarding the margins. Is the fact that they simply mention the margins in the report enough to code for 88307?
Any guidance is appreciated!
Thanks!
Kathleen