Advanced Search

Urology Coding Alert

You Be the Coder:

Coding Prostate Biopsies for Medicare Claims

Published on Wed Oct 17, 2018

Question: Medicare denied our claim for prostate biopsies; we billed 14 units of 88305 since our in-house pathologist examined 14 specimens. What should we have done differently? Wyoming Subscriber Answer: Current Medicare guidelines state that you should bill HCPCS code G0416 (Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method) for prostate biopsies. You should report this [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Urology Coding Alert

View All