Question:
We’ve used 88305 to report surgical pathology prostate biopsies, but continue getting denials, why is this?
Answer:
CMS requires that the G code rather than CPT® code 88305 be utilized to report surgical pathology on prostate biopsies, regardless of the collection method.
G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method |
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