I have gotten many great responses. However, I just want to make a few clarifications based on those responses. All of these specimens are taken at one time. This surgeon is not going back at a later date and taking these margins. Generally the cases are recieved as follows: sentinel nodes, lumpectomy, additional anterior, superior, medial, lateral, deep margins. 90% of the time we do an gross assessment of the margins for the lumpectomy then the additional margins follow. Thanks Allison
> -----Original Message----- > From: Hutton, Allison > Sent: Wednesday, December 29, 2010 12:29 PM > To: 'histonet@lists.utsouthwestern.edu' > Subject: billing for breast cases > > A debate has arisen and I am looking to histonet for a more definitive > answer. We have a breast surgeon who, after he removes the lumpectomy > specimen, always goes back and removes more tissue around the margins of the > lumpectomy. Our question is how should these additional margins be charged. > Currently we charge an 88305 for each of the additional margins (there are no > sutures indicating any orientation, however, one can determine the old and > new margins). Is 88305 the correct charge in this situation or should they > be higher at an 88307? > Thank you in advance, > Allison _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
