CPT^® 88342, Under Surgical Pathology Procedures

The Current Procedural Terminology (CPT^®) code 88342 as maintained by American Medical Association, is a medical procedural code under the range - Surgical Pathology Procedures.

Additional/Related Information

Tabs

Summary

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

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 88342 ? Start a discussion here

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 ]

billing 88360, 88342, 88341

Hi necruz, I just checked and Texas (Jurisdiction H both Part A or B) doesn't have any LCD's for 88342 - I just want to be thorough; are you billing in Texas or to a different state? For example I co... [ 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 ]

View All