CPT^® 55700, Under Incision Procedures on the Prostate

The Current Procedural Terminology (CPT^®) code 55700 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Prostate.

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Summary

The provider biopsies the prostate gland with a special biopsy needle or during surgery for pathological examination. Report this code regardless of the approach, for example, transrectal, perineal, or transurethral.

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Transperineal biopsy of prostate with transrectal ultrasound

Is anyone else doing this procedure with a PrecisionPoint transperineal introducer? I have contacted Precison Point representatives and other urology offices doing this and they are coding with the 55... [ Read More ]

Trus BX

I would suggest: 55700 payable in hospital POS 76872-26 76942 should not be billed when billing 76872... [ Read More ]

Trus BX

Should you be coding a Trus biopsy as follows if done at hospital - and will it be paid. Need some guidance - can't find a definitive answer. I know Medicare does not allow but does that include Med... [ Read More ]

Seminal vesicle biospy

Procedure: Transrectal ultrasound imaging of the prostate and seminal vesicals with transrectal ultrasound-guided biospsy of the right seminal vesicle mass and right base of the prostate. The patient... [ Read More ]

Coding 76942 and 76872

I have a question in relation to Prostate Biopsy with 76942 US guidance for needle placement and 76872 US transrectal. Can these two codes be billed with the Prostate Biopsy 55700. AUA shows caution... [ Read More ]

Correct code 55700 or 55706 performed

[QUOTE="zmarquez816@gmail.com, post: 505556, member: 751764"] Wondering if someone can assist, need to verify which is the correct procedure code for the below mention procedure 55700 or 55706? The... [ Read More ]

Correct code 55700 or 55706 performed

Wondering if someone can assist, need to verify which is the correct procedure code for the below mention procedure 55700 or 55706? The Koehlis endorectal probe was placed in the rectum. Transvers... [ Read More ]

MRI fusion transperineal prostate biopsy

Since the needle biopsy is going through the perineum but they are using a rectal ultrasound would this be coded as 00400 or 00902? 55700 gives 00902/00400/00910 as options. I am thinking 00400. Thank... [ Read More ]

prostate biopsy with Radiology Dept

When a urologist performs a prostate biopsy in the OR with the assistance of a PA from the Radiology Dept does the urologist only bill the biopsy code 55700? and the PA bills for the PC and TC of the ... [ Read More ]

prostate bx

I work for a urology practice and we frequently perform prostate bxs. Some payers will pay the 55700 in addition to the lidocaine injection 96372, however recently BCBS and Tufts have been rejecting t... [ Read More ]

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