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HCPCS Code for Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

HCPCS code G0416 for Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method as maintained by CMS falls under Gross and Microscopic Examinations, Prostate Biopsy .

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Official Long Descriptor

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

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Question about saturation biopsy....
[QUOTE="tmrang, post: 280092, member: 20285"] I know this is an old thread but posted anyway in hopes of helping others... CPT® Assistant Back Print Preview ID 224791 Source CPT® Assistant Nov... [ Read More ]
Physician Office CLIA Lab Billing Questions
Our office is setting up a physician office CLIA lab and I had several questions about billing for this that I'm hoping that someone can shed some light on. The lab will have a single lab technician ... [ Read More ]
How to code Prostate Biopsy
Hi Coders can someone please help me code the pathology for Prostate biopsy. I say it's 88305 for Commercial and G0416 for Medicare, please help. Thanks... [ Read More ]
G0416 changing for Medicare
Yes we can change G0416 to 88305 when the documentation not supporting for medicare and specimen other than needle biopsy Ex. Prostate TUR specimen.... [ Read More ]
G0416 changing for Medicare
Has anyone heard anything about Medicare changing back to 88305 instead of G0416 for prostate bx as of April 1, 2019? Thanks... [ Read More ]
G0416 Aetna Medicare
[b]response - G0416 Aetna Medicare[/b] Hi bbooks, Working with Aetna Medicare can be a HUGE pain! When you review the explanation of benefits on your denial - who did they have listed as the servic... [ Read More ]
G0416 Aetna Medicare
[b]g0416[/b] Have you actually had any success getting any G0416 paid other than regular Medicare? we have not, but we have not tried recently either (within last 4 months).... [ Read More ]
G0416 Aetna Medicare
Is anyone else having Aetna Medicare deny G0416 denied because "the procedure code cannot be billed separately and it should be billed with an additional code?" Claims are submitted with G0416 and on... [ Read More ]
G0416 VS 88035 prostate
Hi Wendy, This is a little late for your question, but still, someone may benefit. Generally, the HCPCS code G0416 is only billed for prostate biopsies to Medicare. It's possible that you may hav... [ Read More ]
G0416 VS 88035 prostate
I am looking for information on prostate biopsies. From Encoder G0416 represents saturation? If that is the case 88305 appears to be the option. Is anyone seeing a denial trend? Specifically with the ... [ Read More ]
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