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cpt 88355-88356,88358 - does anyone bill these codes

  1. Default cpt 88355-88356,88358 - does anyone bill these codes
    Medical Coding Books
    does anyone bill these codes, can you give me an example of the documentation you would see that would lead you to bill this,
    also no one has ever answered my same question on the new cpt codes 88387 -88388, please help

  2. #2
    Default
    I don't bill these morphometric codes on muscle, nerve, or tumor but I do bill the 88360 for breast cancer hormone receptors. Every report says they were examined by morphometric analysis (manual for this code) and translates what the quantative findings mean, ie. "ER positive = >10% of nuclei immunoreactive."

    I would do the same for the codes you are asking about. "positive" and 'negative", "+1" etc are qualitative rather than quantitative unless you provide some kind of measurement to show that you've done the counting (morphometry).

    As for 88387, 88388, I haven't seen anything yet. I've been looking too because I would like to bill this.

    Good luck.

  3. #3
    Default
    I code these occassionally (88356), and they include PGP9.5 stain (88342) as well. This is typically what I see in my reports:
    ____________
    Fifty micron sections of the two skin biopsies are prepared
    and stained with an antibody directed against neuronal
    marker PGP9.5. “Linear densities” of intraepidermal nerve
    fibers were determined by the method of McArthur et al.,
    Arch. Neurol. 55:1513-1520, 1998. Five sections of each
    sample were counted and averaged.

    Reference values
    Specimen Mean Range (Mean +/- SD; 5th percentile)

    1. Thigh 6.1/mm 4.7-8.3/mm (21.1 +/- 10.4/mm; 5.2/mm)

    2. Distal 4.6/mm 3.0-7.3/mm (13.8 +/- 6.7/mm; 3.8/mm)

    Diagnosis
    1. SKIN, RIGHT PROXIMAL THIGH, BIOPSY:
    - INTRAEPIDERMAL NERVE FIBER DENSITY WITHIN NORMAL RANGE

    2. SKIN, RIGHT DISTAL LEG, BIOPSY:
    - INTRAEPIDERMAL NERVE FIBER DENSITY WITHIN NORMAL RANGE
    ________________


    Billing is 88356x2, and 88342x2

  4. #4
    Default
    the formatting got messed up when I submitted my last post. Let's try this and see if this is more clear:

    Specimen- 1. Thigh
    Mean- 6.1/mm
    Range- 4.7-8.3/mm
    Reference values- (Mean +/- SD; 5th percentile)- (21.1 +/- 10.4/mm; 5.2/mm)

    Specimen- 2. Distal
    Mean- 4.6/mm
    Range- 3.0-7.3/mm
    Reference values- (Mean +/- SD; 5th percentile)- 13.8 +/- 6.7/mm; 3.8/mm)

  5. Thumbs up
    Thanks alot, do you also bill 88355, and do you have a sample of that??

    Thanks again

  6. Default
    Procedure code 88356 is listed on the Medically Unlikely Edit. Has anyone had luck in getting more than one paid by insurances? Do you just attach the notes on the original claim submission?

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