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89060 Crsytal Identification

Christine Posted Tue 26th of May, 2020 11:52:20 AM
When is it appropriate to use 89060? Any tissue type?
SuperCoder Answered Wed 27th of May, 2020 03:30:31 AM

Thank you for your Question!


CPT® Code 89060 (Crystal identification by light microscopy with or without polarizing lens analysis, tissue or anybody fluid (except urine)) to analyze a specimen of tissue or body fluid, excluding urine, for the presence of crystals by light microscopy. The specimen to perform this test can be any tissue sample obtained during biopsy or other surgical procedure e.g, soft tissue, cartilage, smears from bursa and synovial tissue to analyze tissue mineral deposits.


Note: Labs often perform the 89060 service on specimens such as fluid from the knee to evaluate for conditions such as gout. Labs might also use polarized light microscopy to identify monosodium urate crystals in tissue prepared from extremities. Do not report 89060 for crystal identification on paraffin-embedded tissue.


You may report a code such as 88104 for the cytopathology with interpretation in addition to 89060 for crystal identification by light microscopy.


Hope this Helps!

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