Results 1 to 6 of 6

Coding from path report (or not)

  1. #1
    Default Coding from path report (or not)
    Exam Training Packages
    If a patient comes in for a suspicious lesion and the provider does a punch biopsy - do you code the biopsy with the diagnosis as "suspicious lesion" or do you hold until the path report comes back and bill with what the pathologist says (in this case it was malignant)? I was previously told to bill from the path report and am clarifying at this point...

  2. #2
    Columbia, MO
    There is no code for suspicious lesion and the guidelines will tell you that you may not code suspected dx. You may code what you know for a biopsy as a skin disorder 709.8 or you may wait for the path and code from the path if you are coding for the physician or outpatient facility. If it is an excision then you must wait for the path. If you are coding inpatient facilityhe then you may not code from the path.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Thanks, I am coding for a physician office. In my CPC training we were told to code from the path report but I was questioned about this at work because it is "after the fact". Do you know of any documentation that states to code from the path report for this type of scenario?

  4. #4
    Bay City, Michigan
    Leandra, I code for a multiple doctor oral surgery practice and our association, AAOMS, has always taught and stands by the practice of coding from the pathology report, due to the fact that you are dealing with a diagnosis that will stay with the patient for life.

    Hope this helps,

  5. #5
    Thanks Amy.

  6. #6
    Bay City, Michigan
    Your welcome Leandra. Glad I could give some assistance.

    The presence of the pathology report will help clarify selection of your code, especially when you are working with benign & malignant neoplasm codes. Especially when the situation is vague at the time of the biopsy, the report helps get clarification for you on what the patient really has.


Similar Threads

  1. Coding DX from path report
    By smack in forum Dermatology
    Replies: 21
    Last Post: 08-12-2016, 07:52 AM
  2. Coding from path report
    By kimezell in forum Pathology & Clinical Laboratory
    Replies: 6
    Last Post: 11-10-2015, 04:52 PM
  3. Coding from path report - from tx notes
    By kortega65 in forum Diagnosis Coding
    Replies: 1
    Last Post: 08-01-2013, 03:50 PM
  4. Coding from path report
    By kortega65 in forum Diagnosis Coding
    Replies: 1
    Last Post: 07-31-2013, 08:11 AM
  5. coding from path report
    By coder in mo in forum Medical Coding General Discussion
    Replies: 10
    Last Post: 08-05-2008, 01:58 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?


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.