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Thread: Surgical pathology CPT for toe nail specimen

  1. #1

    Default Surgical pathology CPT for toe nail specimen

    AAPC: Back to School
    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 ?

    Kindly provide your valuable suggestions.


  2. #2


    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.


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

  3. #3


    Thank you Tom for your reply

    Can you please share the pathology forum site with me.

  4. #4


    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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