CPT^® 88325, Under Surgical Pathology Procedures

The Current Procedural Terminology (CPT^®) code 88325 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 a comprehensive consultation, with review of records and specimens, and prepares a report on referred material, such as a tissue block or slides. A unit of service is the surgical case regardless of the material received.

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88325

I just wanted to confirm if I'm billing correctly. So when my Dermatopathogist does a review of the patient's chart for a consult case, we code an 88325. The phrase on the path report for this has... [ 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 ]

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 ]

Consult help - 88325?

Hello, I have a question regarding 88325 and if this situation would warrant that CPT. We have an orthopedic surgeon not wanting to send the femoral head to pathology. Apparently in our state it is on... [ Read More ]

Path coding/billing

No. It should be 1 line w/ 1 unit. [COLOR=#474646][FONT=adobe-garamond-pro] [/FONT][/COLOR][COLOR=#474646][FONT=adobe-garamond-pro]Unit of service for codes 88321-88325 is considered the surgical pa... [ 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 ]

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 ]

Modifier 91 and TC

[QUOTE="danskangel313, post: 390833, member: 386092"]You'd code for the services that were performed at your facility, 88305. Since it was done twice, you may have to bill 88305, 88305-59. (no 26 or T... [ Read More ]

Modifier 91 and TC

You'd code for the services that were performed at your facility, 88305. Since it was done twice, you may have to bill 88305, 88305-59. (no 26 or TC) The consulting provider would bill a consultation... [ Read More ]

Mohs and 88321?-I posted this

I posted this question on the derm board, but haven't gotten any responses yet. Might any of you knowledgeable folks be able to help me with this? I code for a pathology group, not dermatology, but a... [ Read More ]

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