CPT^® 88361, Under Surgical Pathology Procedures

The Current Procedural Terminology (CPT^®) code 88361 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. The lab analyst processes the slides using computer assisted technology that counts or estimates the number of stained cells. Then a qualified provider, typically a pathologist, evaluates the stained slides and the results of the computer enumeration, and interprets the results to provide a pathologic diagnosis.

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88361 Looking for guidance

The actual concept for coding 88361 is they have to document cleary about stains performed by computer assistated or automated with scoring system. otherwise you can check in American pathology foun... [ Read More ]

88361 Looking for guidance

our providers bill 88361 x4 on gastro samples; the antibodies are MUC, P53, AMAR and CD. We are getting differing opinions. Some say do not use 88361 for any of the antibodies, some say to only use... [ Read More ]

Measure #251 HER2

For #251: [B]Performance Met[/B] (3394f) = having reported HER2 by IHC; so i.e. in our practice, when we are reporting the 88361 code for HER2 by IHC. Typically, when the HER2 by IHC is being run, ... [ Read More ]

MUE modifer for Medicare

[b]Modifiers[/b] These new "X" modifiers really do not work too well for pathology purposes. Where i work we usually use the XE or XU on MUE issues for medicare. Although per Medicare, if you only ... [ Read More ]

MUE modifer for Medicare

Could I get some guidance as to which modifier would be used for Medicare MUEs: example would be 88361 x8....Medicare only allows 6, so would you bill 88361x6 and then 88361x2 with a XU or 59 modifie... [ Read More ]

Breast Biomarkers

Oh, these can be a thorn in the side! It depends on how they were performed, and if your practice is like mine, it varies from provider to provider! Your example looks like either 88360 x3 or 883... [ Read More ]

Path 99341 and 88342

I would contact the lab where this was performed and asked to talk to someone from their coding department that is familiar with this type of pathology coding to review the case with you. Below is fro... [ Read More ]

88360 Documentation

[b]Er, pr, her2/neu[/b] Hi, so sorry I disagree. All three should be billed with 88360. That is how we bill those out where I work. Referring to our CPT book - it states Morphometric analysis, t... [ Read More ]

Medicaid and G0461

Colorado Medicaid does not recognize G0461, G0462, G0416. As we are coding our charges before billing them out we have to convert those codes to 88342 for G0461 & G0462 and to 88305 x 12 units for G0... [ Read More ]

G0461, G0462 NCCI edits FYI

From previous threads, it sounded like it was a mixed bag for using or not using a 59 and other modifiers with G0461 and G0462. I noticed that the July Physician NCCI edits now lists these G-codes as ... [ Read More ]

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