CPT® Code 88020

A necropsy, commonly referred to as an autopsy, is a thorough examination of a deceased individual, focusing on both gross and microscopic analysis of the body. This procedure is conducted without including the central nervous system (CNS). The primary purpose of a necropsy can vary; it may be performed for legal or forensic reasons to ascertain the time and manner of death, as well as the events leading up to it. Alternatively, it can serve a clinical or academic purpose, aiming to determine the cause of death, enhance understanding of disease processes, or contribute to healthcare standards that may prevent future fatalities. The process begins with an external examination of the body, which may involve taking photographs, assessing the condition of clothing, and noting the position of the body. Various samples, such as dirt, blood, or chemical residues, are collected for further analysis. Techniques like ultraviolet light may be employed to detect fluid deposits on the skin or clothing. Additionally, samples of hair and nails may be collected, and radiographic examinations can be conducted to identify any new or healing bone fractures. The external examination also includes a detailed description of the body, encompassing aspects such as gender, approximate age, ethnicity, hair color and length, eye color, and any distinguishing features like tattoos, scars, moles, or birthmarks. Following this, a gross examination of the internal organs is performed, adhering to the techniques outlined in the relevant CPT® codes. A microscopic examination is also conducted, which involves placing fluid and tissue specimens onto slides for microscopic review, as well as culturing for pathogens and testing for genetic diseases, metabolic disorders, or the presence of drugs or chemicals. Upon completion of the autopsy, the body cavity is lined with appropriate material, the internal organs are sealed in a plastic bag and returned to the body, and the abdomen and chest flaps are re-approximated and closed. The skull flap is replaced in the cranium, and the scalp incision is subsequently closed. The CPT® Code 88020 specifically reports the performance of an autopsy that includes gross and microscopic examination of the body, explicitly excluding the central nervous system.