When performing multiple pathologies, code 88305 , do we report the code multiple time and append modifier 76 to the additional units? Or do we report 88305 once without the 76 and list the total units? ...
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Article Overview
This article addresses a common pathology coding question involving repeated specimens and how CPT guidance relates to reporting, units, and selected modifiers. It is intended for pathology coders, billers, and reimbursement staff who need a high-level understanding of surgical pathology reporting concepts and payer-policy variability.
Why This Topic Matters
Correct reporting of pathology services can affect claim accuracy, compliance, and reimbursement. The article highlights that CPT guidance and payer-specific rules may differ, so coders need to understand the general framework before applying local policy.
What You Will Learn
- How surgical pathology reporting is generally structured around specimens and units of service
- How CPT guidance addresses repeated pathology and laboratory reporting concepts
- Why payer-specific billing policies may differ from CPT guidance
- Which general reporting approaches may be considered under different payer requirements
Who Should Read This
- Pathology coders
- Medical billers
- Revenue cycle staff
- Compliance staff
- Laboratory billing teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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