CPT^® 88374, Under Surgical Pathology Procedures

The Current Procedural Terminology (CPT^®) code 88374 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 multiplex in situ hybridization probe 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 probes. 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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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 ]

ISH Billing

[b]88374[/b] Hi Aleigh; From my denial experience in the path or even lab world - if you have reached the MUE with Medicare - you will need to appeal. Personally I would bill these out using a 59 mod... [ Read More ]

ISH Billing

Hi, We are getting a lot of denials when we bill for multiple units of 88374. We are billing over the MUE of one, but it states to report for each unduplicated multiplex probe stain procedure per spe... [ Read More ]

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