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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

clarification for electron microscopy pathology coding

Hello fellow coders
This is an issue that I have had difficulty understanding and have had a hard time finding someone to explain to me for some time. Our pathologists send renal transplant specimens to an outside facility for electron microscopy analysis. The outside facility emails back to us the powerpoint images along with the microscopic description of the tissue. We enter the description into the report and the pathologists read the images and enter their findings into the pathology report under the final diagnosis. How do I code cases like this? The pathologists say because they interpret the images it should be coded 88348-TC ,and Professional and 88300 for the specimen we send to the outside facility. Do you agree?

Medical Billing and Coding Forum

Billing for Technical Component of Anatomic Pathology – ASC Patients

We are an independent Anatomic Pathology Laboratory. We are having an issue with being reimbursed for our Ambulatory Surgery Center services (by Medicare) for breast cancer patients.

In preparation for the surgery, many patients are seen in the hospital’s Women’s Health Center for ultrasound placement of guide wires. After the placement, the surgery is performed at an Ambulatory Surgery Center (the surgery centers have no business relationship with the hospital).

Medicare consistently denies claims for the AP technical component because the patient was seen in an outpatient hospital setting and the surgery center on the same date. We are expected to bill the hospital for our technical services.

We typically bill the technical component with POS 81 and Modifier TC. Is there an additional modifier or explanation we can use to facilitate reimbursement?

Medical Billing and Coding Forum

Pathology Key Words for Correct Coding: Know Their Differences

Diagnosis code choice relies on a thorough understanding of the four classifications of abnormal cell growth severity. The good news about cancer coding is that it is generally straightforward. If you can familiarize yourself with a few key pathology words, you’ll be headed in the right direction. Stages of Cancer Cancer is not a disease […]
AAPC Knowledge Center

Pathology Code for Nail Clippings

Hello, Does anyone know what the appropriate level pathology code (88302-88309) is for gross & microscopic exam of nail clippings? I see this question has been asked before, but I don’t see an answer. I’m leaning towards 88304 due to "Skin – cyst/tag/debridement". My rationale for this code is….nails are part of the Integumentary System & nail clippings could possibly be considered a "debridement" (maybe?). Any thoughts?

Thank you!:confused:

Medical Billing and Coding Forum

Pathology Coding / CLINICAL INFORMATION

Can anyone help me with regards to the CLINICAL INFORMATION on a pathology report? From my understanding we are to code based on the diagnosis by the pathologist. If I need to query, query but with regards to the clinical information; can in some instances, in particular, STOOL testing (diarrhea R19.7 clinical info) , CYTOLOGY. Can the CLINICAL INFORMATION be used as the primary diagnosis?

Medical Billing and Coding Forum

coding pathology sizes

I have a question in regards to coding excisions of lesions.

My provider documented sizes of the excision, however the pathology report shows a more in depth size. Code from the pathology? My thought process would be the pathology report for any audit reason?

Interested in any documentation and guidelines please.

thank you in advance

Medical Billing and Coding Forum

Pathology POS

Hi everyone, I hope someone can clarify Pathology POS for me. I am billing for a Pathologist who has his own lab and is also the director of the lab at a hospital. As such I have been instructed to bill for the professional component of the clinical labs using POS 81.
For anatomical specimens sent to his office/lab I am told to use POS 11 and no modifier for commercial insurance as he does both the technical and professional components. For traditional medicare patients, modifier 26 and POS 21 if the patient is admitted to the hospital and 11 if they were outpatient.
Does this sound right?

Medical Billing and Coding Forum