Surgical Pathology - Mayo Medical Laboratories

1 Surgical PathologyAny UNLISTED specimen should be assigned to the CPT code which most closely reflects the work involved when compared to other specimens assigned to that unit of service for CPT codes 88300 - 88309 is the SPECIMEN. A specimen is defined as tissue(s) that is/are submitted for individual and separate attention, requiring individual examination and pathologic diagnosis. Two or more such specimens from the same patient (eg, separately identified endoscopic biopsies, skin lesions, etc.) are each appropriately assigned an individual code reflective of its proper level of 88300 - 88309 include accession, examination, and reporting.

2 They do not include the services listed in CPT codes 88311 - 88365 and 88399, which are coded in addition when code 88300 is used for any specimen that in the opinion of the examining pathologist can be accurately diagnosed without microscopic examination. Service code 88302 is used when gross and microscopic examination is performed on a specimen to confirm identification and the absence of disease. Service codes 88304 - 88309 describe all other specimens requiring gross and microscopic examination, and represent additional ascending levels of physician work. Levels 88302 - 88309 are specifically defined by the assigned specimens below.

3 88300 Level I - Surgical Pathology , gross examination only88302 Level II - Surgical Pathology , gross and microscopic examination 88304 Level III - Surgical Pathology , gross and microscopic examination Appendix, IncidentalFallopian Tube, SterilizationFingers/Toes, Amputation, TraumaticForeskin, NewbornHernia Sac, Any locationHydrocele SacNerveSkin, Plastic RepairSympathetic GanglionTestis, CastrationVaginal Mucosa, IncidentalVas Deferens, SterilizationAbortion, InducedAbscessAneurysm - Arterial/VentricularAnus, TagAppendix, Other than IncidentalArtery, Atheromatous PlaqueBartholin s Gland CystBone Fragment(s)

4 , not Pathologic FractureBursa/Synovial CystCarpal Tunnel TissueCartilage ShavingsCholesteatomaColon, Colostomy StomaConjunctiva - Biopsy/PterygiumCorneaDiverticulum - Esophagus/Small BowelDupuytren s Contracture TissueFemoral Head, Other than FractureFissure/FistulaForeskin, Other than NewbornGallbladderGanglion CystHematomaHemorrhoidsHydatid of MorgagniIntervertebral DiscJoint, Loose BodyMeniscusMucocele, SalivaryNeuroma - Morton s/TraumaticPilonidal Cyst/SinusPolyps, Inflammatory - Nasal/SinusoidalSkin - Cyst/Tag/DebridementSoft Tissue DebridementSoft Tissue, LipomaSpermatoceleTendon/Tendon SheathTesticular AppendageThrombus or EmbolusTonsil and/or AdenoidVaricoceleVas Deferens, Other than SterilizationVein, Varicosity88305 Level IV - Surgical Pathology , gross and microscopic examination 88307 Level V - Surgical Pathology , gross and microscopic examinationAbortion - Spontaneous/MissedArtery, BiopsyBone ExostosisBone Marrow, BiopsyBrain, Meninges, Other than tumorBreast, Biopsy, NOT Requiring MicroscopicEvaluation of Surgical MarginsBreast, Reduction MammoplastyBronchus, BiopsyCell Block, Any SourceCervix, BiopsyColon, BiopsyDuodenum.

5 BiopsyEndocervix, Curettings/BiopsyEndometrium, Curettings/BiopsyEsophagus, BiopsyExtremity, Amputation, TraumaticFallopian Tube, BiopsyFallopian Tube, Ectopic PregnancyFemoral Head, FractureFingers/Toes, Amputation, Non-TraumaticGingiva/Oral Mucosa, BiopsyHeart ValveJoint, ResectionKidney, BiopsyLarynx, BiopsyLeiomyoma(s), without UterusLip, Biopsy/Wedge ResectionLung, Transbronchial BiopsyLymph Node, BiopsyMuscle, BiopsyNasal Mucosa, BiopsyNasopharynx/Oropharynx, BiopsyNerve, BiopsyOdontogenic/Dental CystOmentum, BiopsyOvary, Biopsy/Wedge ResectionOvary, w/ or w/o Tube, Non-neoplasticParathyroid GlandPeritoneum, BiopsyPituitary TumorPlacenta, 1st or 2nd TrimesterPleura/Pericardium, BiopsyPolyp, Cervical/EndometrialPolyp, ColorectalPolyp, Stomach/Small BowelProstate, Needle BiopsyProstate, TURS alivary Gland, BiopsySinus, Paranasal BiopsySkin, Not Cyst/Tag/Debrid/PlasticSmall Intestine, BiopsySoft Tissue.

6 Not Tumor/Mass/LipomaSpleenStomach, BiopsySynoviumTestis, Not Tumor/Biopsy/CastrationThyroglossal Duct/Brachial Cleft CystTongue, BiopsyTonsil, BiopsyTrachea, BiopsyUreter, BiopsyUrethra, BiopsyUrinary Bladder, BiopsyUterus, w/ or w/o Tubes and Ovaries, for ProlapseVagina, BiopsyVulva/Labia BiopsyAdrenal, ResectionBone, Biopsy/CurettingsBone Fragment(s), Pathologic FractureBrain, BiopsyBrain/Meninges, Tumor ResectionBreast, Excision of Lesion, Requiring MicroscopicEvaluation of Surgical MarginsBreast, Mastectomy - Partial/SimpleCervix, ConizationColon, Segmental Resection - No TumorExtremity, Amputation, Non-TraumaticEye, EnucleationKidney, Partial/Total NephrectomyLarynx, Partial/Total ResectionLiver, Biopsy - Needle/WedgeLiver, Partial ResectionLung, Wedge BiopsyLymph Nodes, Regional ResectionMediastinum, MassMyocardium, BiopsyOdontogenic TumorOvary, w/ or w/o Tube, NeoplasticPancreas, BiopsyPlacenta, Third TrimesterProstate.

7 Except Radical ResectionSalivary GlandSentinel Lymph NodeSmall Intestine, Resection, Not TumorSoft Tissue Mass, Not Lipoma, BiopsyStomach, Sub/Total Resection, Not TumorTestis, BiopsyThymus, TumorThyroid, Total/LobeUreter, ResectionUrinary Bladder, TURU terus, w/ or w/o Tubes and Ovaries, Other Than Tumor/Prolapse88309 Level VI - Surgical Pathology , gross and microscopic examination Add-on (+) CPT Codes to the Above Service Codes: Cytopathology88104 Cytopathology, fluids, washings, or brushings, except cervical or vaginal; smears with interpretation88106 Cytopathology, fluids, washings, or brushings, except cervical or vaginal; filter method only with interpretation88107 Cytopathology, fluids, washings, or brushings, except cervical or vaginal; smears and filter preparation with interpretation88108 Cytopathology, concentration technique, smears and interpretation ( , Saccomanno technique) (For interpretation of smear, use 88104; for cell block interpretation, use 88305.)

8 88125 Cytopathology, forensic ( , sperm)88130 Sex chromatin identification; Barr bodies88140 Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks+88141 Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician (List separately in addition to code for technical service.)(Use 88141 in conjunction with codes 88142 - 88154, 88164 -88167)88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision88143 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision88144 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation.

9 With manual screening and computer-assisted rescreening under physician supervision88145 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and computer-assisted rescreening using cell section and review under physician supervision88147 Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision88148 Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision88150 Cytopathology, slides, cervical or vaginal; manual screening under physician supervision (To report use 88141.)

10 88152 Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision88153 Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision88154 Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening using cell selection and review under physician supervisionBone ResectionBreast, Mastectomy, with Regional LymphNodesColon, Segment, Resection for TumorColon, Total ResectionEsophagus, Partial/ Total ResectionExtremity, DisarticulationFetus, with DissectionLarynx, Partial/Total Resection - with RegionalLymph NodesLung, Total/Lobe/Segment ResectionPancreas, Total/Subtotal ResectionProstate, Radical ResectionSmall Intestine, Resection for TumorSoft Tissue Tumor, Extensive ResectionStomach - Subtotal/Total Resection for TumorTestis.