CQW Panacea-re-brand-rev3

Laboratory

For the Week of November 24, 2014

Question:

What code should be used to report prostate needle biopsies to Medicare?

Answer:

For 2014, but not for 2015, the following codes are available to report any method of prostate needle biopsy services and prostate saturation biopsies:

G0416 Surgical pathology, gross and microscopic examination for prostate needle biopsies, any method; 10–20 specimens
G0417 21–40 specimens
G0418 41–60 specimens
G0419 greater than 60 specimens

Effective January 1, 2015, only G0416 can be used—“regardless of the number of specimens,” according to a decision announced by the Centers for Medicare & Medicaid Services (CMS) in the 2015 Medicare Physician Fee Schedule final rule. Along with that decision, it deleted codes G0417, G0418, and G0419.

 

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