Question

A left breast biopsy is performed on a mass and the surgeon requests a frozen section examination of the specimen to determine whether more extensive resection is appropriate. the frozen section reveals no indications of malignancy. no other specimen is obtained but the remainder of the biopsy specimen is sent for further testing and examination, including decalcification. the results indicate breast fibrosclerosis only. what cpt® and icd-10-cm codes are reported?

Answer 1

CPT Code 88305 defines level IV surgical pathology. It includes gross and microscopic examination of a specimen for diagnosis.

CPT Code 88331 includes the surgery with frozen section and bills the first block.

CPT Code 88311 is under Surgical Pathology Procedures. It covers for the decalcification procedure.

ICD-10-CM Code N60.32 is the diagnostic code for Fibrosclerosis of left breast. It is a billable/specific code.