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Surgical Pathology 88300-88309

Hello –

We have a derm provider asking us some questions about the surgical pathology cpt codes and we want to make sure we tell him the correct answer. He wants to know the following:

Question 1:
As the pathologist, he may receive multiple specimens of the same thing in the same bottle, i.e. skin tags, that are not identified as to which body part or area they were excised from. He will bill 88305 for 1 unit. Is this correct? It almost seems like 88304 would be more correct and then the number of units would be the number of specimens in the bottle.

Which is correct?

Question 2:
As the pathologist, he may receive multiple specimens in the same bottle but they may be different types of specimens that are identified by the type of specimen and body area retrieved from. How should this be billed???

Question 3:
Is there ever a scenario where multiple units of the surgical path codes can be billed when the specimens are in the same bottle, regardless of if the specimens are the same type of specimen or different??

Thanks!!

Medical Billing and Coding Forum