CPT^® 88323, Under Surgical Pathology Procedures

The Current Procedural Terminology (CPT^®) code 88323 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 referred material, such as a tissue block, and prepares and stains slides. A unit of service is the surgical case regardless of the material received.

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Forum

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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 ]

placenta specimen from outside facility

Hi fellow coders Please help with a coding issue. We have an attending physician that requested we get the placenta from the birth hospital for an infant being treated at our facility. The placenta ar... [ Read More ]

Sending a pathology specimen to another lab

[b]Regarding the last paragraph, could you please send me a link from the CMS guidelines[/b] Regarding the last paragraph, could you please send me a link from the CMS guidelines? Thank you. I hope... [ Read More ]

path consult billing for ref lab - 88342

Our path "consults" are sent to Mayo but, I'm told, they don't do any third party billing. Se will bill ins for their services and then they bill us. Those consults are sent to Mayo only after ou... [ Read More ]

billing 88321 and 88305.26

[b]Cpc[/b] You can only bill for one of the slides which is a 88321, no matter how many slides are sent for this patient. If you perform any stains then the code changes to 88323.... [ Read More ]

Global billing for specimen sent for consult

You bill for your services globally, if you both made and read the slides in-house. On occasion, a dermpath may request an expert opinion and send the already prepared slide out for a "second opinion... [ Read More ]

Global billing for specimen sent for consult

[QUOTE="danskangel313, post: 392020, member: 386092"]what codes are you billing? Here's an example i just helped someone with: A provider takes two separate samples, prepares the slides and interpret... [ Read More ]

Pathology Charges

Hello, I work for a hospital that sends out biopsies for an outside pathologist to read. How do I bill for this? Can we bill a 88323 (Level 4 surgery path) or can we only bill for the procedure that ... [ Read More ]

Global billing for specimen sent for consult

What codes are you billing? Here's an example I just helped someone with: A provider takes two separate samples, prepares the slides and interprets them. The provider decides an outside opinion is ne... [ Read More ]

Help with 88323

Hello, I have a scenario that our dermatopathologist is only billing the technical component on a specimen that he sends out for an expert opinion. He did the professional component, but wants an exp... [ Read More ]

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