tci Part B Insider - 2013 Issue 9

Reader Question: Know the Path Codes for Scar Examinations

Question: When our pathologist examines scar tissue, or tissue with a diagnosis related to scarring, can we bill 88305 if the specimen difficulty warrants the charge? Is there any time that a scar should not be 88305? Answer: Yes, you can sometimes bill a scar specimen as 88305, but some guidelines might clarify when you should and shouldn’t do so. You might report your surgical pathologist’s exam of scar or "scar related" tissue using any of the following codes, depending on the circumstances: 88302 — Level II - Surgical pathology, gross and microscopic examination… plastic repair… 88304...

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