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Heart resection

  1. #1
    Default Heart resection
    Medical Coding Books
    I have a double chamber rt ventricle; outflow tract resection specimen-non neoplastic- " fibrosis dx" 3.8 cm--
    should code be a 88307 or 88309, cpt has myocardium bx as a 88307, my doc is giving it a 88305.. ???

    Any help would be greatly appreciated !!!

  2. #2
    Default
    This is an unlisted specimen. Based on the value of a thorough gross and microscopic examination, as well as accurate diagnosis for the patient's future care plan, a resection of heart tissue should be coded 88309. If a biopsy of myocardium is a Level V specimen, a resection which involves more average pathologist work will be a Level VI.

    I doubt any payer will dispute this assessment.

    Cheers,
    WK
    www.whaleheadking.com
    http://pathcoder.blogspot.com

  3. #3
    Default
    Awesome, I agree! thanks for your help

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