CPT^® 88360, Under Surgical Pathology Procedures

The Current Procedural Terminology (CPT^®) code 88360 as maintained by American Medical Association, is a medical procedural code under the range - Surgical Pathology Procedures.

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Summary

The lab analyst applies a 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, evaluates the stained slides, including manually counting or estimating the number of stained cells, and interprets the results to provide a pathologic diagnosis.

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Pathology CPTs

You are welcome [USER=711950]Lupita1983[/USER], I have been on the pathology forums for several years (just search it) to suggest stuff to seriously help and assist our pathology colleagues. No worrie... [ 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 ]

morphometric analysis 88360

what details need to be on a pathology report in order to justify using the cpt code 88360?... [ 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

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 ]

billing 88360, 88342, 88341

our facility just now capable of running ER/PR/HER2NEU, my question we are getting denied 88342, 88341 for regular IHC stains? Curious to see how other facilities bill these cpts. We have medicare p... [ Read More ]

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