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Can dermatologist bill for 88305 and 88304 if they send their biposies to a lab

Susan Posted Wed 05th of September, 2012 15:26:11 PM

88305

SuperCoder Answered Wed 05th of September, 2012 15:39:32 PM

Hi Beth,

Please see the attached article to get the insights of 88304/88305.

http://www.the-dermatologist.com/article/4239

88305, 88309 as well as other pathology codes that might be reported by a dermatologist. It should be noted that all of these codes include accessioning, examination, and reporting, so those services should not be reported separately.

88305

Code 88305 is used for most skin specimens requiring gross and microscopic examination, excluding specimens where no pathology is expected (88302, including normal newborn foreskin and plastic repair), and conditions that should be reported with code 88304 (abscess, cyst, cholesteatoma, conjunctival biopsy, Dupuytren’s contracture, fissure or fistula, foreskin other than newborn, hematoma, mucocele, pilonidal sinus, skin tag(s), debridement, lipoma, and varicosity).

In addition to being used for most skin specimens, Code 88305 is also used for temporal artery biopsy, oral mucosal biopsies, lymph node biopsy, and muscle, soft tissue, nerve, or salivary gland biopsies.

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