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Neck tru cut biopsy adenocarcinoma

Annette Posted Wed 03rd of June, 2020 11:10:59 AM
LEFT NECK, TRU CUT BIOPSY: METASTATIC CARCINOMA. PRE OP DIAGNOSIS NECK LYMPHADENOPATHY . Gross: neck lymph node biopsy. I would assign CPT 88305. However, I see that others are assigning 88307. Please advise. Thank you Annette
SuperCoder Answered Thu 04th of June, 2020 07:31:23 AM

Hello Annette,

Hope you’re doing well!


Thank you for your question.


Code 88305 describes a single lymph node that the physician submits to the pathologist for standard (not sentinel) examination and diagnosis. If the surgeon submits multiple, individually identified lymph nodes, each node earns a single unit of 88305.


But usually when the pathologist receives multiple lymph nodes, the surgeon indicates the region of origin and does not separately identify each node. In these cases, you should report code 88307 for a regional resection instead of multiple units of 88305.


Note: Follow the surgeon’s documentation regarding whether the specimen is a regional resection (88307), or two distinctly identified lymph-node biopsy specimens (88305x2). Also, you should not report 88305 or 88307 for lymph node biopsy or resection in addition to the primary specimen code when the CPT® definition includes lymph nodes.


Hope that helps!


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