Wiki toe amputation-bone frag- for crystal analysis

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JEWEL2010

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Clinical data is Gout
1st and 2nd specimens are fragments of 4th toe toe amputation, however the 3rd specimen is a bone fragment of 4th toe and tissue submitted entirely for crystal analysis.
Final Dx: Negatively birefringent crystals consistent w/ monosodium urate.
Doctor wants to charge 88305.

What code can be charged here? Not sure if what was actually performed here was a 89060- Crystal identification-

Any feedback is greatly appreciated! Thanks!
 
If the bone fragment was examined grossly and microscopically, and a diagnosis was based on that, then this is most accurately described as 88304, a bone fragment other than for pathologic fracture.

If the entire specimen was processed for 89060, then this was not a surgical pathology specimen.
WK
 
Thanks for your feedback...
His response to me was "I DID DO AN ALCOHOL FIXED ANALYSIS OF SLIDE C FOR CRYSTALS AND RESULTS REPORTED AS C/W MONOSODIUM URATE".
He wants to charge a 88305 for evaluating the crystals on the slide. It sounds to me like a 89060- but he is aware of the 89060 description & says that is not what he performed.

No bone was examined- so I can't suggest that CPT unfortunately- I've hit a brick wall!
 
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