Medical Coding

Category - Laboratory and Pathology

A primary care physician contacts the pathologist at the local hospital because of an anomaly on his patient’s pathology report. He asks the pathologist to write a medical interpretive judgment, without ever seeing the patient or knowing more about the patient’s history. The pathologist is happy to do this, reexamines the pathology sample and writes a report that he shares with the primary care physician for further clarification. What is the correct code for this type of a consultation?
  1. 80400
  2. 80402
  3. 80500
  4. 80502
Explanation
Answer: C - 80500 is the correct code for limited clinical pathology consultation.

Codes 80400 and 80402 are both incorrect because these codes reference evocative/suppression testing codes. Code 80502 is incorrect because this code is for a comprehensive clinical pathology consultation including review of the patient’s history and medical records.
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