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TYMPANIC MEMBRANE

Gladys Posted Mon 07th of July, 2014 11:32:17 AM

HOW WOULD YOU CODE IF THE SPECIMEN IS THE RIM OF A TYMPANIC MEMBRANE? SOME OF OUR DOCS ARE CALLING IT AN 88302 AND SOME ARE CALLING IT 88304. WHAT WOULD BE CORRECT?

SuperCoder Answered Tue 08th of July, 2014 10:59:54 AM

Depending on the procedure performed to obtain the specimen.
Can you please provide the procedure performed and diagnosis.

Gladys Posted Tue 08th of July, 2014 11:24:08 AM

THE PATH REPORT DOES NOT GIVE ANY INFORMATION REGARDING THE ACTUAL PROCEDURE PERFORMED. IT SAYS 51 YEAR OLD MALE WITH PERFORATED LEFT EAR. THE SPECIMEN WE RECEIVED WAS THE "RIM OF PERFORATION LEFT EAR"
I USED ICD 9 CODE 384.20
THE PATHOLOGIST STATES AS DIAGNOSIS: "DENSE FIBROUS CONNECTIVE TISSUE CONSISTENT WITH TYMPANIC RIM, NO INFLAMMATORY INFILTRATES PRESENT"

SuperCoder Answered Tue 08th of July, 2014 14:35:58 PM

Thank you for the information.
88302 is typically for skin that is known to be benign, and sent to pathology for routine examination.
88304 would be more suitable for this type of specimen. It includes inflammatory tissue and would be a suitable code for this diagnosis

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