Pathology and Laboratory (December 2003)

December 2003 page 11a Coding Consultation:Questions and Answers Pathology and Laboratory, 88307, 88309 (Q&A) Question What CPT code is appropriate to report the pathologist's examination of a uterus with fibroids? AMA Comment The AMA has previously advised that a uterus with a benign smooth muscle tumor, known as leiomyoma, is reported with code 88307 (CPT Assistant, Winter 1991, Principles of CPT Coding 1st and 2nd editions). Although they are benign neoplasms, many leiomyomas do not require the same degree of evaluation as other uterine neoplasms. A uterus with a malignant smooth muscle tumor or another neoplasm, be it...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This December 2003 Pathology and Laboratory Q&A discusses CPT guidance for surgical pathology reporting when a uterus with fibroids or other uterine smooth muscle tumors is examined. The article explains the general scope of the surgical pathology code section and highlights when the extent of evaluation affects reporting. It is relevant to pathology coders, billing staff, and clinicians who work with specimen interpretation and CPT-based reporting.

Why This Topic Matters

Correct surgical pathology reporting depends on the nature and extent of the pathologist’s examination, not just the final diagnosis. This article helps readers understand the broad CPT context for uterine specimens and related neoplasms.

Article Sections

  1. Coding Consultation: Questions and Answers

    A question-and-answer discussion focused on pathology coding guidance for a uterine specimen scenario. The section places the topic in the context of surgical pathology reporting under CPT.

What You Will Learn

  • How this article frames surgical pathology reporting guidance for uterine specimens
  • The general CPT context discussed for pathology evaluation of neoplastic tissue
  • Why the article is relevant to professionals handling pathology coding questions
  • How the article is organized as a Q&A guidance piece

Who Should Read This

  • Pathology coders
  • Medical billers
  • Revenue cycle staff
  • Pathologists
  • Coding educators

Codes Discussed

Code Ranges Discussed


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