CPT^® 88321, Under Surgical Pathology Procedures

The Current Procedural Terminology (CPT^®) code 88321 as maintained by American Medical Association, is a medical procedural code under the range - Surgical Pathology Procedures.

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Summary

A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received.

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Forum

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88108

We are still arguing about this... Report #1 Pathology Interp Report Smear Review Interp Gross Descripton: CSF, tube #1, fluoroscopically guided lumbar puncture - 2 [B]cytospin preparations reviewed[... [ Read More ]

88108

You have this! Yes, what else is to code but a consultation. The pathologist reviewed slides. No IHC applied this it a professional only fee 88321. If it was performed in house.... [ Read More ]

Consult question 88321

I have something to provide regarding billing 88321 - it has a MUE of 1 with MAI of 2 (that means that you are allowed to bill this charge once per a day of service). Please tell me that we are billin... [ Read More ]

Consult question 88321

You can only bill 88321 per original date of service. So if all 5 specimens were from the same original DOS that would be one 88321 charge. If the 5 specimens are each from a separate original DOS (an... [ Read More ]

Consult question 88321

I work for a Dermatopathogist and the doctor is asking below question, does anyone know? For consult cases where multiple specimens are sent, it is preferable from a patient care standpoint to be abl... [ Read More ]

When billing 88305 and multiple recuts are done can you also bill 88323

I have been researching as one of my providers asked if there was a recut cpt code to bill with 88305.aI am not finding a specific recut code except for 88323 which is when tissue is submitted to th... [ Read More ]

Second opinion by provider in the same lab?

No. From the NCCI manual: [INDENT]CPT codes 88321-88325 describe surgical pathology consultation services to review slides, tissues, or other material obtained, prepared, and interpreted at a differe... [ Read More ]

Second opinion by provider in the same lab?

If one provider in our lab reads a slide, and then wants a second opinion from another provider in our lab, can we then bill both the 88305 and 88321 for each providers work?... [ Read More ]

Pathology Consultation of outside slides 88321

The Medically Unlikely Edit (MUE) for 88321 is 1 88321 is billed once, regardless of the number of specimens submitted to the consulting pathologist. The National Correct Coding Initiative policy fi... [ Read More ]

Pathology Consultation of outside slides 88321 88321 outside slides pathology consult

Discussion among the pathologists is 88321 x1 for the patient OR 88321 for each surgical case submitted. Can someone help clarify this? EX: Patient A - slides submitted from outside facility: endome... [ Read More ]

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