Data Updated for Q4 2018
CPT Code: 88321
Description: Consultation and report on referred slides prepared elsewhere
Status Code
A
Active Code. These codes are paid separately under the physician fee schedule, if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a nation
Global Days
XXX
The global concept does not apply to the code.
Medicare RUVs and Fees
Work RVU – 1.63
Malpractice RVU – 0.08
Facility RVU – 0.74
Non-Facility RVU – 1.21
Facility Total RVU – 2.45
Non-Facility Total RVU – 2.92
Medicare National Facility Total Payment – $88.2
Medicare National Non-Facility Total Payment – $105.12
Bundling Information
Includes
0009U, 85097, 87209, 88104, 88106, 88107, 88108, 88120, 88121, 88125, 88130, 88140, 88141, 88160, 88161, 88162, 88173, 88180, 88182, 88184, 88187, 88188, 88189, 88302, 88304, 88305, 88307, 88309, 88312, 88313, 88314, 88318, 88319, 88342, 88344, 88346, 88347, 88348, 88349, 88355, 88356, 88358, 88360, 88361, 88365, 88366, 88367, 88368, 88371, 88372, 88374, 88377, 88384, 88385, 88386, 88387, 88388, G0461, G0462
Included In
88323, 88325, G0416, G0417, G0418, G0419
Mutually Exclusive
88363
If you get stuck finding the right Code, take a look at our 5 Ways to Find the Most Appropriate CPT Code.
Related CPT Codes
CPT Code | Description |
---|---|
88300 | Level I – Surgical pathology, gross examination only |
88300 | Level I – Surgical pathology, gross examination only |
88302 | Level II – Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization |
88304 | Level III – Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm – arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin’s gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva – biopsy/pterygium Cornea Diverticulum – esophagus/small intestine Dupuytren’s contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma – Morton’s/traumatic Pilonidal cyst/sinus Polyps, inflammatory – nasal/sinusoidal Skin – cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity |
88305 | Level IV – Surgical pathology, gross and microscopic examination Abortion – spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy – without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium – biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy |
88307 | Level V – Surgical pathology, gross and microscopic examination Adrenal, resection Bone – biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy – partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy – needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) – biopsy/simple excision Stomach – subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse |
88309 | Level VI – Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy – with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection – with regional lymph nodes Lung – total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach – subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection |
88311 | Decalcification procedure (List separately in addition to code for surgical pathology examination) |
88312 | Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) |
88313 | Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry |
88314 | Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) |
88319 | Special stain including interpretation and report; Group III, for enzyme constituents |
88321 | Consultation and report on referred slides prepared elsewhere |
88323 | Consultation and report on referred material requiring preparation of slides |
88325 | Consultation, comprehensive, with review of records and specimens, with report on referred material |
88329 | Pathology consultation during surgery; |
88331 | Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen |
88332 | Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) |
88333 | Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site |
88334 | Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) |
88341 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) |
88342 | Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure |
88344 | Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure |
88346 | Immunofluorescence, per specimen; initial single antibody stain procedure |
88348 | Electron microscopy, diagnostic |
88350 | Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) |
88355 | Morphometric analysis; skeletal muscle |
88356 | Morphometric analysis; nerve |
88358 | Morphometric analysis; tumor (eg, DNA ploidy) |
88360 | Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual |
88361 | Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology |
88362 | Nerve teasing preparations |
88363 | Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) |
88364 | In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) |
88365 | In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure |
88366 | In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure |
88367 | Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure |
88368 | Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure |
88369 | Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) |
88371 | Protein analysis of tissue by Western Blot, with interpretation and report; |
88372 | Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each |
88373 | Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) |
88374 | Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure |
88375 | Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session |
88377 | Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure |
88380 | Microdissection (ie, sample preparation of microscopically identified target); laser capture |
88381 | Microdissection (ie, sample preparation of microscopically identified target); manual |
88387 | Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies); each tissue preparation (eg, a single lymph node) |
88388 | Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies); in conjunction with a touch imprint, intraoperative consultation, or frozen section, each tissue preparation (eg, a single lymph node) (List separately in addition to code for primary procedure) |
88399 | Unlisted surgical pathology procedure |