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Pathology/Lab Coding Alert

Reader questions:

Document More Detail for ICD-10 DCIS Diagnosis

Question: The pathology report indicates that the pathologist examined a breast biopsy from the upper-inner quadrant of the left breast, with a diagnosis of DCIS. How should we code the procedure and the diagnosis in ICD-9 and ICD-10? Texas Subscriber Answer: The correct procedure code is 88305 (Level IV - Surgical pathology, gross and microscopic examination…, Breast, biopsy, not requiring microscopic evaluation [...]