Surgical pathology CPT for toe nail specimen

viji

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Dear coders,

I enountered a report with specimen "Toenail clippings".

The gross description reads "Mulitple pieces of white / tan toenail clippings, 0.6 - 0.8 cm. Sunmitted representative tissue in a single cassette.

The diagnosis summary reads "Toe Biopsy, Nail - Onychomycosis".

I donot see the listing of nail in any of the surigical pathology CPT levels.

What is the appropriate CPT for the nail specimen? Is it 88302 or 88304 :confused: ?

Kindly provide your valuable suggestions.

Thanks:)
 

tomtom2

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I have seen this coded as 88302, 88304 and 88305 by different (so called expert) coders. But I would use 88304 because this is a biopsy and stains are usually ordered for fungus. Which my doctors and I feel this is more work than the usual 88302 specimen.

Thanks,

FYI - We have a new Pathology forum. So lets use it!:)
 

viji

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Thank you Tom for your reply:)

Can you please share the pathology forum site with me.
 

tomtom2

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The new path/lab forum is here at aapc.com. Instead of going to Medical Coding/General Discussion; go to Medical Coding/Pathology. Also the pathology forum at coding911.com has been a great resource for me. But you have to be a subscriber to the Coding Institute to join.
 
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