Question:

In a case where multiple specimens are processed on the same date of service, how should 88362 and 88380 be reported, and what documentation requirements must be met to ensure correct billing? Additionally, under what circumstances can a modifier be appended to 88380?

Answer:

When a single case requires processing of multiple specimens that will constitute the billing of 88362 and 88380 on the same date of service, documentation must reflect the examination of separate and distinct specimens. When documentation supports reporting of both procedures, a modifier may be appended to 88380.

This question was answered in our Coding Essentials for Laboratories. For more hot topics relating to laboratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

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