Results 1 to 3 of 3

Pathology codes using modifiers

  1. #1
    Default Pathology codes using modifiers
    Medical Coding Books
    Good morning all,

    I need some assistance with billing pathology codes listed below: the edit says 88323 unbundles to Hx procedure 88321 I tried using mod. 59 on each and I'm having diffculty with this claim any suggestions?

    88321
    88323
    88321
    88321
    88321
    88342 - mod 59

    Thank you,
    TH

  2. Default cpc
    CMS (Medicare) only allows one code in the 88321-88323 range per date-of-service. Date of service is determined by the date the specimen was archived from storage and sent for second opinion. For any ancillary service YOU performed, such as a special stain, IHC, etc., then you append modifier 59 to that service. If you do cut into a block for ancillary service, CMS instructs that you then use cPT 88323 for the consult code (which I still don't get, but it's Medicare rule). So if you performed an IHC on a second opinion consult, regardless of how many separate accessions were received that date, per Medicare guideline you'd code

    88323
    88342.59

    (this of course assuming you're billing global)

    pam

  3. #3
    Default
    Thank you so much that was very helpful information I will let the pathologist know this .

    Thank you,
    th

Similar Threads

  1. Revenue codes for pathology
    By coachlang3 in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 08-24-2015, 05:44 AM
  2. Using Pathology/Lab codes
    By tamstrnd in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 12-28-2011, 08:23 AM
  3. Need help Pathology codes
    By tholcomb in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 11-11-2011, 10:22 AM
  4. Pathology Codes using modifiers
    By tholcomb in forum Dermatology
    Replies: 0
    Last Post: 07-06-2011, 01:54 PM
  5. Pathology Billing Modifiers
    By LIA2600 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 06-16-2008, 05:00 PM

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.