AMA CPT® Assistant - 2014 Issue 6 (June)

Pathology and Laboratory: Surgical Pathology (Q&A) (June 2014)

June 2014 page 15 Pathology and Laboratory: Surgical Pathology Question: What is the appropriate CPT code to capture epidermal nerve fiber density testing on skin biopsies? Answer: Epidermal nerve fiber density testing (also referred to as intraepidermal nerve fiber [IENF] density) involves special histologic evaluation of skin biopsies utilizing quantitative immunohistochemistry for neural elements (ie, panaxonal marker, anti-protein gene product 9.5). The physician identifies and reports the number of intraepidermal nerve fibers per linear millimeter of epidermis. This report is used in the assessment of sensory neuropathies seen in diabetes mellitus and cancer chemotherapy, as well as idiopathic...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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