[Histonet] Re: CPT code for fused twin placentas

[Robert Richmond]

The CPT code for a term or near-term placenta is 88307. With twin
placentas, you may bill 88307 x2 if it is possible to distinguish
which cord belongs to twin A and which to twin B. Makes no difference
whether the placentas are fused or not. The obstetrician may mark A
and B with clips or ties or whatnot, any way you can make the
distinction. The pathologist may use one diagnosis line, as long as
the gross description is clear. My sign-out might be:

placenta (cesarean section): fused dichorionic diamniotic twin
placentas. No chorioamnionitis or meconium lesion seen.

Bob Richmond
Samurai Pathologist
Knoxville TN