Q: Can a pathologist who receives a segmental colon resection from a patient with a history of Crohn’s disease report CPT code 88309 instead of 88307 since looking for dysplasia and cancer in the Crohn’s colon may require extra work?
A. The specimen type determines the appropriate code.
A segmental resection of the colon in Crohn’s disease is reported by CPT
code 88307, Colon, segmental resection, other than for tumor.
A. The specimen constitutes a resection of the acromioclavicular
joint and should be reported as a single unit of code 88305, Joint,
resection, regardless of how many containers it is received in. A
unit of code 88311, Decalcification procedure (list separately in
addition to code for surgical pathology examination), is also appropriate
if the specimen is decalcified.
Frequently asked questions about CPT are published bimonthly in “Capitol
Scan.” This section of CAP TODAY is a product of the CAP Economic
The codes and descriptions listed here are from Current Procedural
Terminology, 4th ed., CPT 2006. CPT 2006 is copyrighted by the American
Medical Association. To purchase CPT books, call the AMA at 800-621-8335.
For more information about CPT coding, visit the CPT
Coding Resource Center on the CAP Web site.