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Thread: Pathology Billing Modifiers

  1. #1

    Default Pathology Billing Modifiers

    AAPC: Back to School
    Does anyone any suggestions for finding modifer info on billing pathology codes?? I need to find out whether or not we can bill a single tissue biopsy that was cut into 3 sections and billed 3 times with a 59 modifier.
    Someone mentioned that b/c it's the same anatomical site and not a different site, it can be billed 3 times but with a 76 mod. Please clarify!

  2. #2
    Join Date
    Apr 2007


    Was the tissue seperately identified by the surgeon? What type of tissue is it?

  3. #3


    it was 1 single tissue cut into 3 sections and 3 studies were done. it was still 1 identified tissue sample

  4. #4
    Join Date
    Apr 2007


    If the surgeon designates it as one specimen only, it is generally irrelevant how many time it has been cut. However, there are exceptions. Do you have the case information? I am a coder for a pathology lab and might be able to help you.

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