How you code this clinical scenario will depend on how you did the biopsy. For an incisional biopsy of the testicle, code 54530 and 54505-XU. For a needle biopsy of the testicle, code 54530 and 54500 without a modifier. I hope this helps you.
Michael A. Ferragamo MD, FACS, urologist and Urology Coding and Reimbursement consultant