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CPT Code 88305 Used to Bill for Genital Wart Surgical Pathology

March 4, 2010

Effective for dates of service on or after March 1, 2010, CPT code 88305 (Level IV – surgical pathology, gross and microscopic examination; skin, other than cyst/tag/debridement/plastic repair) should be submitted for surgical pathology of biopsies to confirm vulvar, vaginal or genital warts. Code 88304 is no longer reimbursable for this purpose, effective for the same dates of service.

When submitted to confirm genital warts, code 88305 is reimbursable if billed in conjunction with the following secondary diagnosis ICD-9-CM codes:

ICD-9-CM

Code Description
078.0 Molluscum contagiosum
078.10 Viral warts
078.11 Condylomata

There are no age restrictions for CPT-4 code 88305 and it is reimbursable for both male and female clients.

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