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CPT 88300 (Gross examination only) question

  1. #1
    Default CPT 88300 (Gross examination only) question
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    I have an MD that billed 88304 level 4 (surgical pathology, gross and microscopic examination) but only did a gross examination - no microscopic indicated on path report.

    I believe this should qualify as a level I (CPT 88300) because no microscopic exam was done - only gross.

    Am I correct?
    Maria CPC, CPC-H, CEMC

  2. #2
    You need a microscopic exam to code anything higher than 88300. You are correct.

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