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Paths 88305

Kathleen Posted Thu 03rd of October, 2013 21:37:14 PM

When billing for the professional componenet (int and report) for 88305 should the date of service be the date the physician actually did the interpretation and report or the date the biopsy was taken.


SuperCoder Answered Fri 04th of October, 2013 17:26:24 PM

About date of service, you should use the date the biopsy was taken if you’re reporting the technical component of 88305.

Kathleen Posted Mon 14th of October, 2013 08:53:54 AM

My question was in regards to the professional component?

SuperCoder Answered Wed 23rd of October, 2013 17:44:39 PM

Medicare doesn’t specify what the DOS must be for the professional component, but many labs follow the TC rules to simplify billing. For instance, if you’re billing globally, you need to follow the TC rules (because the TC is included) and use the specimen collection date as the DOS. If you’re billing the 26 only, you may use the specimen collection date or the date of the interpretation. But labs often choose to always use the specimen collection date for simplicity and consistency in billing.

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