How To Use CPT Code 88143

CPT 88143 describes the analysis of cervical or vaginal cytopathology specimens collected in preservative fluid using automated thin layer preparation, manual screening, and rescreening under physician supervision. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 88143?

CPT 88143 can be used to describe the analysis of cervical or vaginal cytopathology specimens collected in preservative fluid. This code specifically refers to the use of automated thin layer preparation, manual screening, and rescreening under physician supervision. The test is performed by a lab analyst to examine the cells and diagnose any potential diseases or abnormalities.

2. Official Description

The official description of CPT code 88143 is: ‘Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision.’

3. Procedure

1. The clinician collects a cervical or vaginal cytopathology specimen from the patient and places it in a preservative fluid.
2. The lab analyst prepares the specimen using automated thin layer preparation, which involves carving a thin layer from the specimen and placing it on a slide for microscopic analysis.
3. The analyst performs a manual screening of the slide under a microscope to observe the cells and look for any abnormalities.
4. If the initial screening provides inconclusive results or there is a medically necessary reason, the analyst performs a rescreening of the same slide.
5. The analyst prepares a report of the findings, including any abnormalities or recommendations for further testing or treatment.

4. Qualifying circumstances

CPT 88143 is used for cervical or vaginal cytopathology specimens collected in preservative fluid. This test is typically ordered as part of routine screenings, annual exams, or for patients with a family history of cervical cancer. It may also be ordered for patients experiencing pain or discharge from the vagina. The test requires automated thin layer preparation, manual screening, and rescreening under physician supervision.

5. When to use CPT code 88143

CPT code 88143 should be used when analyzing cervical or vaginal cytopathology specimens collected in preservative fluid using automated thin layer preparation, manual screening, and rescreening under physician supervision. It is important to ensure that all the specific requirements of the code are met before reporting it.

6. Documentation requirements

To support a claim for CPT 88143, the following documentation is required:

• Information about the patient, including their diagnosis and reason for the test
• Details about the specimen, including the type of preservative fluid used
• Date and time of specimen collection
• Information about the automated thin layer preparation process
• Date and time of the manual screening and rescreening
• Findings from the analysis, including any abnormalities or recommendations
• Signature of the lab analyst and supervising physician

7. Billing guidelines

When billing for CPT 88143, ensure that the test meets all the specific requirements of the code, including the use of automated thin layer preparation, manual screening, and rescreening under physician supervision. It is important to follow the guidelines provided by the payer regarding the use of HCPCS codes for screening Pap tests and the appropriate linking of professional and technical codes.

8. Historical information

CPT 88143 was added to the Current Procedural Terminology system on January 1, 1999. There have been no updates to the code since its addition.

9. Examples

1. A clinician collects a cervical cytopathology specimen from a patient during their annual exam. The lab analyst performs automated thin layer preparation, manual screening, and rescreening under physician supervision. The analysis reveals abnormal cells, and the patient is referred for further testing.
2. A patient with a family history of cervical cancer undergoes a routine Pap smear. The lab analyst uses automated thin layer preparation, manual screening, and rescreening to analyze the specimen. The results show no abnormalities, providing reassurance to the patient.
3. A patient presents with vaginal discharge and undergoes a cervical cytopathology test. The lab analyst performs automated thin layer preparation, manual screening, and rescreening, identifying abnormal cells that indicate a possible infection. The patient is prescribed appropriate treatment based on the findings.
4. As part of a follow-up examination, a clinician collects a vaginal cytopathology specimen from a patient. The lab analyst uses automated thin layer preparation, manual screening, and rescreening to analyze the specimen. The results show no abnormalities, providing peace of mind to the patient.
5. A patient experiences pelvic pain and undergoes a cervical cytopathology test. The lab analyst performs automated thin layer preparation, manual screening, and rescreening, identifying abnormal cells that suggest a potential underlying condition. The patient is referred to a specialist for further evaluation and treatment.