debkay
New
Standard 12 core transrectal biopsy - Would this be billed with 55700 with 12 in the services field?
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki 55700 - biopsy, prostate; needle or punch, single or multiple, any approach
- Thread starter debkay
- Start date
thythaot
Guest
55700
It depends, when a urologist and radiologist perform the procedure together:
- The urologist reports code 55700.
- The radiologist reports coe 76942.
Also, please check the record with code 76872: transrectal echography. It should be bill with the written report document the finding and signed by the physician. Based on the Medicare coverage.
The mention is taking 10-12 tissue cores has become the standard of care (Wilson &Crawford,2004). Sextant & extended biopsy with 10-12 cores is generally performed with local anesthesia.
Otherwise, the saturation biopsy involves taking between 20 to 40 cores biopsies. This will be use code 0137T: biopsy, prostate needle saturation sampling for prostate mapping.
I hope it will help.
Good luck
It depends, when a urologist and radiologist perform the procedure together:
- The urologist reports code 55700.
- The radiologist reports coe 76942.
Also, please check the record with code 76872: transrectal echography. It should be bill with the written report document the finding and signed by the physician. Based on the Medicare coverage.
The mention is taking 10-12 tissue cores has become the standard of care (Wilson &Crawford,2004). Sextant & extended biopsy with 10-12 cores is generally performed with local anesthesia.
Otherwise, the saturation biopsy involves taking between 20 to 40 cores biopsies. This will be use code 0137T: biopsy, prostate needle saturation sampling for prostate mapping.
I hope it will help.
Good luck
zaidaaquino
Guru
By definition, CPT 52400 includes multiple biopsies. Would the urologist need to indicate the number of biopsies in the claim itself? We typically bill the following set of codes: 55700, 76872, 76942, 64450-59 based on our documentation.