Hi,
We have coded CPT 88305 for Skin biopsy, but client is asking us to upcode the CPT to 88307 as number of cassettes is above 3. Can anyone confirm whether we can consider surgical pathology CPT 88307 based on number of cassettes?
According to me, we should not code based on number of cassettes, but we have to code based on specimen and the procedure done.
Please find the details given below and let me know the correct CPT for this.
SPECIMEN DESCRIPTION:
CLINICAL DATA R/O BCC
GROSS DESCRIPTION: Received in formalin is an oriented wedge of tan tissue measuring 23 x 9 x 3 mm in greatest dimensions. The specimen is serially sectioned in "breadloaf" fashion and entirely submitted in 6 cassettes.
MICROSCOPIC DESCRIPTION: There is a proliferation of fibroblasts aligned parallel to the skin surface interposed among linearly arranged, thickened collagen bundles and small blood vessels. (10I-MJ)
FINAL DIAGNOSIS
Left Central Chest, Excision: SCAR FROM A PREVIOUS PROCEDURE
Note: There is no evidence of the previously biopsied neoplasm in this multiply sectioned specimen.
Thanks in advance
We have coded CPT 88305 for Skin biopsy, but client is asking us to upcode the CPT to 88307 as number of cassettes is above 3. Can anyone confirm whether we can consider surgical pathology CPT 88307 based on number of cassettes?
According to me, we should not code based on number of cassettes, but we have to code based on specimen and the procedure done.
Please find the details given below and let me know the correct CPT for this.
SPECIMEN DESCRIPTION:
CLINICAL DATA R/O BCC
GROSS DESCRIPTION: Received in formalin is an oriented wedge of tan tissue measuring 23 x 9 x 3 mm in greatest dimensions. The specimen is serially sectioned in "breadloaf" fashion and entirely submitted in 6 cassettes.
MICROSCOPIC DESCRIPTION: There is a proliferation of fibroblasts aligned parallel to the skin surface interposed among linearly arranged, thickened collagen bundles and small blood vessels. (10I-MJ)
FINAL DIAGNOSIS
Left Central Chest, Excision: SCAR FROM A PREVIOUS PROCEDURE
Note: There is no evidence of the previously biopsied neoplasm in this multiply sectioned specimen.
Thanks in advance