LEEP Cervical Biopsy vs. Conization
There are two CPT codes to choose from for a cervical biopsy specimen.
∗ 88305 - Surgical pathology, gross and microscopic examination, cervix, biopsy
∗ 88307 - Surgical pathology, gross and microscopic examination, cervix, conization
How do you decide? A review of the op notes may be one way. For example, if the surgeon identifies the LEEP specimen as a biopsy or conization, or if the following surgical procedures are listed for specimens obtained during a colposcopy.
∗ 57460 - Colposcopy of the cervix including upper/vagina; with loop electrode biopsy(s) of the cervix
∗ 57461 - ………….with loop electrode conization of the cervix
What if there is no documentation distinguishing between cervical biopsy and cervical cone or the specimen label and the physical specimen don’t match? In this instance, it is left to the pathologist to decide whether each specimen is more like a cervical biopsy or cervical conization. To support your decision, use keywords such as LEEP biopsy or LEEP cone in the final diagnosis. It’s not uncommon to receive two or three LEEP specimens in separate containers. If they are separately examined and diagnosed, report 88307 for each.
As President of our five person pathology group, I have been asked to endorse the Pathology billing services of APS Medical Billing, which I agreed to enthusiastically. Since our seamless transition to APS one year ago, we have significantly increased our monthly collections, decreased the delay in processing claims, and less time is spent in accounts receivable. We now have a team of knowledgeable personnel dedicated to our account and our personal account manager is an attentive, effective, responsible individual who will always follow-up and solves problems as they occur. The end result is better communication and enhanced revenue compared to previous. In addition, there is complete transparency to the process, attentiveness to detail, and on-going education is provided including up-dates in evolving pathology legislation.
In sum, we recommend APS Pathology Billing Services without hesitation or qualification.
Rancho Mirage, CA
View More Testimonials