jennlester71
Guest
Some things are very easily searchable on CMS.gov regarding CPT codes, fee schedules, etc.
I'm having trouble finding what the medical necessity policy is on a saturation biopsy, code 55706. I know it is a covered code, but how do I find out specifics about what medicare considers medical necessity for performing that vs a regular biopsy if there is a regular biopsy 55700 pathology report that already shows positive for prostate cancer. The saturation biopsy comes because of a rise in PSA, so I don't know if the saturation is to see if it's spread further. Any advice on where to find this information would be greatly appreciated.
I'm having trouble finding what the medical necessity policy is on a saturation biopsy, code 55706. I know it is a covered code, but how do I find out specifics about what medicare considers medical necessity for performing that vs a regular biopsy if there is a regular biopsy 55700 pathology report that already shows positive for prostate cancer. The saturation biopsy comes because of a rise in PSA, so I don't know if the saturation is to see if it's spread further. Any advice on where to find this information would be greatly appreciated.