Urology Coding Alert

Question: The patient underwent transrectal ultrasound imaging in both the transverse and longitudinal planes. The seminal vesicles were visualized, and the right seminal vesicle was plumper and larger compared to the left. My urologist obtained seven separate biopsies through the transrectal ultrasound probe from the right seminal vesicle mass and right base of the prostate in this region. How should this scenario be coded?

AAPC Forum Subscriber

Answer: You should report the following codes on your claim:

• 55899 (Unlisted procedure, male genital system) for the biopsy of the seminal vesicles
• 76872 (Ultrasound, transrectal) with modifier 26 (Professional component) appended for the ultrasound
• 55700 (Biopsy, prostate; needle or punch, single or multiple, any approach) for the prostate biopsy.