CPT® Code 88028

A necropsy, commonly referred to as an autopsy, is a thorough examination performed on deceased infants, specifically those aged between 1 to 12 months. This procedure involves both gross and microscopic evaluations, with a particular focus on the brain. The primary aim of conducting a necropsy is to ascertain the cause of death and to gather critical information that may aid in understanding any underlying medical conditions. For infants, the examination includes a comprehensive external assessment, which may involve capturing full body and facial photographs when deemed appropriate. Additionally, radiographic examinations can be utilized to detect any new or healing bone fractures, assess skeletal dysplasia, identify metaphysitis, and recognize cerebral calcifications, as well as to estimate the maturation of bones at ossification centers. During the necropsy, the infant's body is meticulously weighed and measured, with specific attention given to various dimensions such as crown to heel, crown to rump, head circumference, and foot length. A detailed examination of the head is conducted to identify any abrasions, cephalohematoma, caput succedaneum, bulging fontanelles, and the condition of the sutures. The facial features are documented, and the skin is examined for any abnormalities. The shape of the chest is noted, along with any presence of crepitus, while the abdomen is assessed for its shape and size, including the presence of conditions such as omphalocele or gastroschisis. If the umbilical cord, placenta, and membranes are still attached, they are examined for signs of umbilical hypercoiling or knots, chorioamnionitis, and infarction. The genitalia are inspected to determine the infant's gender and to check the patency of the anus, vagina, and urethra. The back and spine are also scrutinized for any neural tube defects, pigmented lesions, or hair tufts. Following the external examination, a gross examination of the internal organs is performed, adhering to techniques outlined in related CPT codes. This is complemented by a microscopic examination, where fluid and tissue specimens collected during the autopsy are placed onto slides for microscopic review, cultured for pathogens, and tested 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 carefully re-approximated and closed.