Results 1 to 6 of 6

Thread: 88302 twice or thrice

  1. #1
    Join Date
    Apr 2007
    Posts
    77

    Default 88302 twice or thrice

    Promo: Code Books
    Hi,

    The specimen are :

    Posterior Vaginal Wall excision # 1
    Posterior Vaginal Wall excision # 2
    Anterior Vaginal Wall Excision

    There is no medical necessity documented for the first two specimens.

    How many units we can report. Please help!

    Thanks in Advance!

  2. #2
    Join Date
    Apr 2007
    Location
    New Orleans, LA
    Posts
    160

    Default

    I don't think this is 88302 to begin with, these aren't incidental specimens.

    What do you mean there is no medical necessity? If these are biopsies, you should be coding the findings and billing 88305 x3

  3. #3
    Join Date
    Apr 2007
    Posts
    77

    Default Its 88305

    Thanks for your input!

    I agree that it should have been 88305. My apologies for the typo.

    I need clarification on the second part. Both of the specimen examined are taken from the same anatomical site Posterior Vaginal Wall. Is it appropriate to give credits to both.

    Medically necessity I meant was the document does not indicate that the first Specimen PVW # 1 need additional attention.

    Thanks as always!

  4. #4
    Join Date
    Apr 2007
    Location
    New Orleans, LA
    Posts
    160

    Default

    If they are seperately submitted for individual attention by the surgeon, they are separately reported. As you note, these are submitted as excision #1 and excision #2. Even if they are from the same anatomical site, there's nothing here to say they are adjacent to each other or "two halves of the same thing."

    I'm not seeing the whole report but think of a breast case where you have an excision of lesion and the next specimen is an extension of that excision. The second is still billable.

    The exception would be if the pathologist is bundling the diagnosis for both into a single dx. Even then, it would have to read "vaginal excision." If the report is for "vaginal excision #1 and #2" I would still bill two.

  5. #5
    Join Date
    Apr 2007
    Location
    New Orleans, LA
    Posts
    160

    Default

    Sorry, I meant I would bill a total of three

  6. #6
    Join Date
    Apr 2007
    Posts
    77

    Default

    Yes. Its making sense and looks great. Thanks a lot for your time.

Similar Threads

  1. Fetus dissection 88302 vs 88309
    By JEWEL2010 in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 11-07-2011, 09:07 PM
  2. nerve excision 88302 or 88305?
    By wtevr79 in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 04-06-2009, 10:52 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.