CPT^® 88341, Under Surgical Pathology Procedures

The Current Procedural Terminology (CPT^®) code 88341 as maintained by American Medical Association, is a medical procedural code under the range - Surgical Pathology Procedures.

Additional/Related Information

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Summary

The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified provider, typically a pathologist, interprets the stained slides to provide a pathologic diagnosis.

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View matching HCPCS Level II codes and their definitions.

Forum

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Bone Marrow Biopsy help requested please

Hi, I am going to post this twice (here and in the pathology forum). I would appreciate any insight that anyone is experiencing with this please. Is anyone else receiving (how do I state this - except... [ Read More ]

Bone Marrow Biopsy - denials

Hi, I am going to post this twice (here and in the billing/reimbursement forum). I would appreciate any insight that anyone is experiencing with this please. Is anyone else receiving (how do I state t... [ Read More ]

Pathology CPTs

Hi [USER=711950]Lupita1983[/USER], Case 1: I wouldn’t hesitate to code the Ki-67 with 88360 in this scenario – per SEER the Proliferation Index — high rates indicate actively growing tumors a... [ Read More ]

Pathology CPTs

Good morning, I am trying to comprehend when it's appropriate to code for 88360 vs 88342 for stains such as ER, PR, Ki-67, PTEN, BCL-2 and SDHB when [U]done in-house and sent out as Tech only[/U]. I... [ Read More ]

88360

Hi [USER=66530]necruz[/USER] We follow Medicare guidelines where I work for all payors (commercial, Medicare, or otherwise). If 88360 is billing with 88342 or 88341 we will apply XU modifier to both 8... [ Read More ]

88360

Hi [USER=66530]necruz[/USER] I somewhat disagree that the ER/PR/HER2/Ki-67 can also be billed as IHC stains. Please let me explain. If the ER and PR performed are quantitative (as stated above) - you... [ Read More ]

billing 88360, 88342, 88341

Hi, when we bill 88360 with 88342 and 88341 we follow Medicare guidelines for all payors and bill both 88342 and 88341 with a XU modifier. May I ask what state you are billing in? In two of the severa... [ Read More ]

billing 88360, 88342, 88341

I would suggest using the XU modifier but if you are billing with the 59 on 88342/88341 I'm surprised that you are getting denied. Are you billing each CPT on one line with a quantity (e.g. 88342 X2,... [ Read More ]

billing 88360, 88342, 88341

yes ncci edits some but we are billing the 88342 and 88341 with the 59 modifier but they still deny them; they do pay however the 88360 without a mod; do i have to appeal with our reports to show the ... [ Read More ]

billing 88360, 88342, 88341

Are you familiar with the CMS NCCI edits? It's helpful to have this resource available for review to verify when you have a situation like this that requires a modifier when certain CPTs are billed t... [ Read More ]

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