For the Week of November 24, 2014
What code should be used to report prostate needle biopsies to Medicare?
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|
|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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