CQW Panacea-re-brand-rev3


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
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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