CPT Code 88321

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


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Scott Painter has extensive experience with medical coding information. He is one of the original developers of CodingToday.com and continues to be responsible for all the development, data acquisition and quality control. He believes that correct coding and documentation is one of the cornerstones of quality patient care. His mission is simple: using technology and data to help physicians and staff maximize their reimbursement and save time and money.