I personally have not billed Blue Medicare, but I was getting denials on the 76872. What I found to get all of them paid was:

55700 dx 790.93
76872 dx 600.10
76942 dx 790.93

And that has gotten all three codes paid when Cigna previously was considering the 76872 non-reimbursible when billed with 76942.

Now, I have a question for the other urology coders that bill prostate biopsies. Does anyone out there also bill the 88305 mod 26 for the obtaining of the specimen along with gross and mircoscopic examination. Or...the 88305 mod 26 for gross examination only?

Hunter Smith, CPC