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+88313 correct coding

  1. #1
    Post +88313 correct coding
    Medical Coding Books
    Is this code always billed with 88302 and what are the provider type for 88302, 88305. When should a pathologist bill for these type of service?

  2. #2
    Minneapolis MN
    Since 88313 is defined as an add-on code, it always needs to be billed along with it's primary pathology procedure: 17311-17315 - 85097-85097 - 87177-87177 - 88104-88112 - 88140-88140 - 88160-88162 - 88173-88173 - 88302-88309 - 88321-88321 - 88323-88325 - 89050-89050.

  3. #3
    Thank you so much

  4. #4
    Thanks for this information, can you let me know were to find this information?

  5. #5
    88313 is a Group II stain. It's not always billed with 88302, only when the pathologist stains the specimen and examines the results. I think this would be unlikely on an 88302-level specimen. You bill once for each individual reagant (not twice for two iron stains on the same specimen though, for example).

    I don't know much help it will be, but you can poke around the College of American Pathologists web site. There is an archive of CPT questions in the CAP Today archives.

  6. #6
    Thank You - That was helpful also.

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