88300
Level I - Surgical pathology, gross examination only
88104
Cytopathology, fluids, washings, or brushings, except cervical or vaginal; smears with
interpretation
88106
Cytopathology, fluids, washings, or brushings, except cervical or vaginal; filter method
only with interpretation
88107
Cytopathology, fluids, washings, or brushings, except cervical or vaginal; smears and
filter preparation with interpretation
88108
Cytopathology, concentration technique, smears and interpretation (e.g., Saccomanno
technique) (For interpretation of smear, use 88104; for cell block interpretation, use
88305. )
88125
Cytopathology, forensic (e.g., sperm)
88130
Sex chromatin identification; Barr bodies
88140
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks
88170
Fine-needle aspiration with or without preparation of smears; superficial tissue (e.g.,
thyroid, breast, prostate)
88171
Fine-needle aspiration with or without preparation of smears; deep tissue under radiologic guidance (e.g., lung, liver, pancreas, abdominal or retroperitoneal mass)
88172
Evaluation of fine-needle aspirate with or without preparation of smears; immediate
cytohistologic study to determine adequacy of specimen(s)
88173
Evaluation of fine-needle aspirate with or without preparation of smears; interpretation
and report
88180
Flow cytometry; each cell surface marker
88182
Flow cytometry; cell cycle or DNA analysis
88199
Unlisted cytopathology procedure
88311
Decalcification procedure (List separately in addition to code for surgical pathology examination.)
88312
Special stains (List separately in addition to code for surgical pathology examination); Group I for microorganisms (e.g., Gridley, acid-fast, methenamine silver), each
88313
Group II, all other (iron, trichrome), except immunohistochemistry stains, each
88314
Special stains (List separately in addition to code for surgical pathology examination); histochemical staining with frozen section(s)
88318
Determinative histochemistry to identify chemical components (e.g., copper, zinc)
88319
Determinative histochemistry of cytochemistry to identify enzyme constituents, each
(e.g., NADH, Leder, myeloperoxidase, esterase, alkaline phosphatase)
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)
88342
Immunohistochemistry, tissue study, each antibody
88346
Immunofluorescent study, each antibody; direct method
88347
Immunofluorescent study, each antibody; indirect method
88348
Electron microscopy; diagnostic
88349
Electron microscopy; scanning
88355
Morphometric analysis; skeletal muscle
88356
Morphometric analysis; nerve
88358
Morphometric analysis; tumor
88362
Nerve teasing preparations
88365
Tissue in-situ hybridization, interpretation and report
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
88399
Unlisted surgical pathology procedure
Amputation
88309 Amputation—extremity disarticulation
88307 Amputation—extremity, non-traumatic
88305 Amputation—extremity, traumatic
88305 Amputation—finger(s) or toe(s), non-traumatic
88302 Amputation—finger(s) or toe(s), traumatic
Appendix
88302 Appendix—incidental
88304 Appendix—other than incidental
88304 Appendix, testis/epididymis
2 Artery
88304 Artery atheromatous plaque
88305 Artery biopsy/segment
2 Axillary tail/axilla
88305 Axillary tail/axilla—lymph node biopsy
88307 Axillary tail/axilla—lymph nodes regional resection
3 Bladder
88305 Bladder biopsy
88309 Bladder partial or total resection
88307 Bladder transurethral resection (TUR)
8 Bone
88307 Bone (except bone marrow) biopsy or curetting
88307 Bone cyst
88305 Bone exostosis
88304 Bone fragment(s)—other than pathologic fracture
88307 Bone fragment(s)—pathologic fracture
88305 Bone marrow biopsy
88305 Bone marrow particle clot
88309 Bone resection
3 Brain
88307 Brain biopsy
88305 Brain—other than tumor resection or biopsy
88307 Brain tumor resection
13 Breast
88305 Breast needle core tissue biopsy
88305 Breast reduction mammoplasty
88305 Breast biopsy, without margin exam
88305 Breast, excision of discrete lesion (eg. fibroadenoma)
88305 Breast, incisional biopsy
88307 Breast, lumpectomy
88307 Breast mastectomy-partial or simple w/o lymph nodes
88307 Breast, excision of lesion, with margin exam
88307 Breast, quadrantectomy
88307 Breast, segmentectomy
88307 Breast, tylectomy
88309 Breast mastectomy-radical/modified radical
88309 Breast mastectomy-simple with lymph nodes
Cervical
88305 Cervical biopsy
88307 Cervical cone/conization/cone biopsy
88305 Cervical cyst/polyp
Chips (TURB)
88307 Chips (TURB)—bladder 88305 Chips (TURB)—prostate
Colon
88305 Colon biopsy
88304 Colon colostomy stoma
88304 Colon diverticulum
88305 Colon ―donut‖ (eg, primary tissue for tumor)
88304 Colon ―donut)‖ (eg, primary tissue not for tumor)
88305 Colon polyp
88309 Colon total resection w/or w/o mesenteric lymph nodes
88309 Colon w or w/o mesenteric lymph nodes-segmental resection for tumor
88307 Colon w or w/o mesenteric lymph nodes – segmental resection other than for tumor
Cyst
88304 Cyst—Bartholin's gland 88307 Cyst - bone 88305 Cyst—brachial/branchial cleft 88304 Cyst—bursa 88305 Cyst—cervix 88305 Cyst—dental/oral 88307 Cyst—dermoid of soft tissue/ovary (eg teratoma) 88304 Cyst – dermoid, skin 88304 Cyst—epidermoid 88304 Cyst—ganglion 88304 Cyst - hydatid 88304 Cyst – mucous retention (salivary) 88307 Cyst, NOS, neoplastic 88305 Cyst, NOS, nonneoplastic 88305 Cyst—odontogenic 88307 Cyst—ovarian, neoplastic 88305 Cyst—ovarian, non-neoplastic 88304 Cyst—paratubal 88304 Cyst—pilonidal 88305 Cyst—sinus 88304 Cyst—skin 88304 Cyst—synovial 88305 Cyst—thyroglossal duct 88307 Dermoid cyst – of soft tissue or ovary (eg teratoma) 88304 Dermoid cyst – skin
Extremity
88307 Extremity amputation—non-traumatic
88305 Extremity amputation—traumatic
88309 Extremity disarticulation
Fallopian tube
88305 Fallopian tube biopsy
88305 Fallopian tube—ectopic pregnancy
88302 Fallopian tube for sterilization
Femoral head
88305 Femoral head—fracture
88304 Femoral head—other than fracture
Finger(s)
88305 Finger(s) amputation—non-traumatic 88302 Finger(s) amputation—traumatic
Gastric
88305 Gastric biopsy
88309 Gastric endoscopic mucosal resection for tumor
88305 Gastric polyp
88309 Gastric subtotal or total resection for tumor
88307 Gastric subtotal/total resection other than for tumor
Lung
88305 Lung biopsy—other than wedge biopsy
88309 Lung total, lobe or segmental resection
88305 Lung transbronchial biopsy
88307 Lung wedge biopsy/resection
Lymph node
88305 Lymph node biopsy (needle or incisional)
88307 Lymph node for lymphoma workup (see chapter 5)
88307 Lymph nodes regional resection
88307 Lymph node, sentinel
Placenta
88305 Placenta—other than third trimester
88307 Placenta—third trimester
Scar
88305 Scar - keloid
88305 Scar – skin (tumor excision/re-excision)
88304 Scar – skin (simple/cicatrix)
88304 Scar—soft tissue
Skin
88304 Skin cyst, tag or debridement 88305 Skin-other than cyst/tag/debridement/plastic repair 88302 Skin—plastic repair 88304 Skin polyp 88305 Skin pseudocyst 88305 Skin, wart (eg, verruca vulgaris)
Small bowel
88304 Small bowel diverticulum
88305 Small bowel polyp
88305 Small intestine biopsy
88309 Small intestine resection for tumor
88307 Small intestine resection other than for tumor
Soft tissue
88305 Soft tissue (except mass), biopsy/simple excision
88304 Soft tissue debridement
88304 Soft tissue lipoma
88307 Soft tissue mass (not lipoma) biopsy, simple excision
88305 Soft tissue other than tumor/mass/lipoma/ debridement
88309 Soft tissue tumor extensive resection
Tonsil
88304 Tonsil and/or adenoids
88305 Tonsil biopsy
88309 Tonsil resection for tumor
how are lymph nodes classified
Two or more lymph nodes from the same anatomic site constitute a ―regional resection‖ for charge classification. A single lymph node is classified as a ―lymph node biopsy‖ (88305), unless it is a designated ―sentinel lymph node‖ (88307) or a node for lymphoma study (see next point).
