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Thread: Surgical Pathology

  1. #1

    Default Surgical Pathology

    AAPC: Back to School
    I am not familiar with pathology coding. But, from the intro in the CPT book, I would assume that this is billed by the actual lab performing those tests and/or biopsies.

    One of our doctors has asked if he is able to bill these codes when sending a specimen to the lab. Due to a conversation he had with a local lab, he strongly believes that he can. Again, I don't think so - but, I don't want to mislead him with inaccurate information.

    Please, can anybody give me some guidance?
    ~Ursula, CPC~

  2. #2

    Default Pathology

    He can bill for gathering or taking of the specimen, as far as billing for the test performance itself the lab will have to bill for that process.

    I hope that this helps.

  3. #3

    Default Pathology continued

    For instance, I am working for a dermatologist. The dermatologist takes the biopsy of moles, skin, or whatever they need to diagnose, then they send the specimen off to a lab to be tested. The dermatologist bills for the biopsy, however, he does not bill for the testing, the lab does.

    I hope that this explanation helps you evern more.

  4. #4


    Thank you so much. That helps a LOT!!
    ~Ursula, CPC~

  5. #5


    I've since learned more about his arrangement with the lab. They want us to bill it as 'purchased diagnostic services'. Is there a special way to code it, as such?
    ~Ursula, CPC~

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