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Cervical LEEP Biopsies

  1. Question Cervical LEEP Biopsies
    Medical Coding Books
    Could anyone clarify coding for a LEEP Cervical biopsy? Is there anything specific to look for that would differentiate a code of 88305 and 88307? I have been taught that coding would be 88305 unless a 'conization', 'cone' or 'cone shaped biopsy" was stated in the description. In that case it would be coded 88307. Is that correct? Is there anything else that should be in the report?

  2. #2
    That is correct. The report should state "cone" "conization" or "LEEP" to receive an 88307.

  3. Default Limit on number of LEEP biopsy specimens in one day?
    Our Pathology Dept received 3 cervical cone biopsy specimens and the Pathologist examined all 3 - but they are saying they can bill for only one.

    Does anyone know anything about a limitation on the number of specimens for which you can bill?

    Thanks in advance!

    Laurie Johnson, COC

  4. #4
    We went back and forth on this too. We found a CAP opinion and have since followed that guidance. See below. Here is the link:

    Multiple-part LEEPs

    Cervical loop electrical excisions (LEEPs) are sometimes submitted as separate specimens that are identified separately for orientation. The ectocervical portion of the LEEP excision should be coded like a cervical conization (88307). If it is submitted as separate specimens, then each should be coded as 88307 or 88305, depending on the work involved. Likewise, a separate endocervical specimen removed by LEEP should be coded as 88305 or 88307, depending on the work involved. Small endocervical samples are comparable to an endocervical biopsy or endocervical curettage (ECC) and 88305 is the appropriate code. A larger endocervical LEEP is comparable to a cervical conization and should be coded 88307.

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