• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki toe amputation-bone frag- for crystal analysis

Create Wiki
J

JEWEL2010

Contributor
Messages
21
Best answers
0
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!
 
You must log in or register to reply here.
Top