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individual specimen charge versus multiiple charges

Dawn Posted Wed 23rd of September, 2015 08:17:19 AM

Procedure: Excision left ear lesion with stage I reconstruction.
Specimen:
A. Left ear, suture is at 12 o'clock. Frozen section

Gross:
A. Specimen is received unfixed labeled with the patient's name and "left ear suture is at 12 o'clock." It consits of an ireegular portion of ear, 4 x 1.6 x .2cm in greatest dimension. The specimen is oriented by Dr. at the grossing bench. It is inked as per following key: 12-3 red, 3-6 black, 6-9 orange, and 9-12 blue. All the margins are frozen for frozen section diagnosis (tangential section). The rest of the specimen is entirely submitted in 2 cassettes.

My question is, Do the specified locations inked individually, warrant individual CPT codes and individual frozen charges?

SuperCoder Answered Thu 24th of September, 2015 08:40:19 AM

Well, if the testing is to be done for same condition by same technique, then it will be billed with one CPT code only with multiple units with it. But, if the technique of testing are different for each specimen, then it can be codes separately. It is advisable to check the pattern of techniques which are being used. Hope it helps!

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