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CPT Code 88305 is used for gross and microscopic examination in diagnostic pathology and tissue examination during laboratory testing. Accurate understanding and utilization of CPT Code 88305 is important for proper pathology billing and reimbursement.
The 88305 CPT code is used to report the examination of tissue biopsies, including preparation, interpretation, and special staining. This code enables healthcare providers to accurately bill for their pathology services and ensures that they receive appropriate reimbursement for their work.
Summary. The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally receiving the specimen, and then examining gross and microscopic features of the specimen and reporting findings.
The 88305 CPT code plays a crucial role in the realm of pathology and laboratory medicine. This widely used code is utilized to describe the examination of tissue specimens by a pathologist, providing essential information for accurate diagnosis and treatment of patients.
Effective September 1, 2012, the global reimbursement for professional pathology services for prostate biopsy codes 88305 and 88307 will be capped at nine units. Professional pathology services must be billed as a global charge when billing for both the technical and professional components.
by Alex Mitchell | Aug 28, 2020 | RCM Consulting, Pathology Management, CPT Codes. We’ve recently seen many commercial payers move to only paying prostate biopsies coded G0416 instead of 88305 (for instance, Cigna will institute this rule effective Aug. 18).
Cell blocks (CPT code 88305) are not routinely performed from Pap test specimens; however, cell blocks may be prepared from gynecologic liquid based specimens and may be of diagnostic value, including IHC staining (Tropical J of Path Micro 2018;4:207)
Coding Brief: Reporting Shaving of Epidermal or Dermal Lesions and Histopathologic Examination. Concerns have been raised regarding appropriate coding for shaving of epidermal or dermal lesions (11300-11313), followed by histopathologic examina-tion of tissue specimens (88304, 88305).
Code 88305 would be assigned to a usually fairly small segment of breast tissue taken primarily to extend a surgical margin of resection further into the normal tissue zone. This could be done as a breast needle core biopsy, an incisional breast biopsy, or an excised discrete lesion of the breast where specified margin
Medicare no longer pays 88305 for prostate needle biopsies. G0416 is now the appropriate code for all prostate needle biopsies regardless of the number of biopsies/cores. The new definition of G0416 (Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method) reflects this change.