CPT^® 55874, Under Other Procedures on the Prostate

The Current Procedural Terminology (CPT^®) code 55874 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Prostate.

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Summary

Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes or is absorbed by the body over time, around the prostate to maintain a space between the prostate and the rectum.

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View matching HCPCS Level II codes and their definitions.

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Help with modifier

Medicare doesn't really like modifier 51. I would have just used modifier 78 on both 55874 and 55876. That could be why they are denying.... [ Read More ]

Help with modifier

Patient is in the post op period from having a TURP done. The pathology showed prostate cancer. The patient then continued to have Space OAR and IMRT placement. I billed 55874.78 and 55876.78/51. Medi... [ Read More ]

Should you code for the SpaceOAR supply???

[QUOTE="sls, post: 492343, member: 20617"] Thank you for your response!! This is what I have been trying to tell the business office, but wasn't as clear as you. You summed it up nicely, going to stea... [ Read More ]

Should you code for the SpaceOAR supply???

[QUOTE="csperoni, post: 492233, member: 164618"] I know nothing about SPACEOAR and I am answering the question in general about procedures performed in the office vs facility. The additional costs ar... [ Read More ]

Should you code for the SpaceOAR supply???

I know nothing about SPACEOAR and I am answering the question in general about procedures performed in the office vs facility. The additional costs are built into the practice RVU portion of the tota... [ Read More ]

Should you code for the SpaceOAR supply???

My office is going to start implanting the SPACEOAR in the office (55874). The business office wants to bill separately for the hydrogel supply. I think it is included in 55874, but do not have any so... [ Read More ]

Fiducial markers Placement and Rectal hydrogel spacers insertion.

Asssistance for coding for Fiducial markers Placement and Rectal hydrogel spacers insertion. Will there be 2 CPT: Fiducial markers Placement 55876 & Rectal hydrogel spacers insertion.55874. Thank... [ Read More ]

SpaceOAR

SpaceOar and how it's billed is apparently going to drive management up a wall here! :) Just for clarification purposes, we bill it 55874, 55876-51 (IF Visicoil is done), and 76872 for the ultrasoun... [ Read More ]

SpaceOar Hydrogel

[b]space oar billing[/b] Hi, the doctor does the procedure in our office with fudicial marker placement. 55874 is the actual Space Oar Cpt code then we also bill out with 55876, 76872 76942, 96372 J... [ Read More ]

SpaceOar Hydrogel

Hi All - When your docs do the SpaceOar Hydrogel (cpt 55874) in the office, what HCPCs code are you using to bill for material itself? (Most of my docs do it in the OR, so the hospital provides it an... [ Read More ]

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