Coding Corner

Q. We received multiple needle core prostate biopsies in one container.  Do we code 88305x1?

A. Yes, you would report needle core prostate biopsies with CPT code 88305, but how many 88305s depends on a couple of factors.  You would assign 88305 for each one that is individually identified by the referring physician.  For example, a separate vial.   They also need to be separately-diagnosed and then they can be separately-charged. Therefore, if you received twelve separately-diagnosed needle core biopsies in 12 vials they would be reported as 88305 x 12.

Q.Is a BAL specimen reported as 88108?

A. Not necessarily.  The correct code will depend on the method used to process the specimen.  Except for FNA's, this would be the case for all non-gyn cytology specimens such as fluids, washings or brushings.  So the correct code could be one of the following:

• 88104 - Cytopathology, fluids, washings or brushings except cervical or vaginal; smears with interpretation
• 88106............simple filter with interpretation
• 88108............concentration technique, smears and interpretation
• 88112............selective cellular enhancement technique