I have a question in relation to Prostate Biopsy with 76942 US guidance for needle placement and 76872 US transrectal. Can these two codes be billed with the Prostate Biopsy 55700. AUA shows caution...

I have a question in relation to Prostate Biopsy with 76942 US guidance for needle placement and 76872 US transrectal. Can these two codes be billed with the Prostate Biopsy 55700. AUA shows caution... [ Read More ]

The provider performs a transrectal ultrasound to assess the size and shape of the prostate in order to plan brachytherapy treatment. The brachytherapy planning is not reported with this code. For clinical responsibility, terminology, tips and additional info start codify free trial.

The procedure represented by code 76872 is performed as a diagnostic service to evaluate the size and symmetry of the prostate and/or to look for suspicious lesions. The procedures described by codes 55700 and 76942 are performed together to obtain prostate tissue for pathologic evaluation to determine if prostate cancer is present. Additional

2001年12月1日 · Diagnosis codes that are paid include 185 (malignant neoplasm of prostate), 233.4 (carcinoma in situ of breast and genitourinary system; prostate) and 236.5 (neoplasm of uncertain behavior of genitourinary organs; prostate). Noridian for Iowa does not allow prostate ultrasound for an enlarged prostate unless there is also a nodule.

2017年12月14日 · 55700 – Biopsy, prostate; needle or punch, single or multiple, any approach ; 76872 – Ultrasound, transrectal. You could file 76498 (Unlisted magnetic resonance procedure [e.g., diagnostic, interventional]) for the additional work of fusing the MRI and the ultrasound, but know it is unlikely to be reimbursed. Other procedures which can be ...

2009年6月10日 · Ÿ 76942, to report the ultrasonic guidance used to guide the needle biopsy of the prostate; and Ÿ 55700, for the needle biopsy of the prostate. Remember, the use of 76872 does not preclude reporting 76942. If you keep in mind the intent of the ultrasound procedure codes, coding for the diagnostic ultrasound procedure is also straightforward.

2002年3月1日 · Empire Medicare, carrier for New York City and surrounding areas, will pay for 76872, 55700 and 76942 when performed at the same session with 185 (Malignant neoplasm of prostate), 222.2 (Benign neoplasm of male genital organs; prostate), 236.5 and 790.93 (Elevated prostate specific antigen, [PSA]). Codes 600.x and 239.5 may not be used.

codes for prostate fusion biopsy: 55700 - Biopsy, prostate; needle or punch, single or multiple, any approach 76872 - Ultrasound, transrectal. You could file 76498 (Unlisted magnetic resonance procedure [e.g., diagnostic, interventional]) for the additional work of fusing the MRI and the ultrasound, but know it is unlikely to be reimbursed.

In addition, physicians almost always perform needle biopsies of the prostate (CPT codes 55700 and 55706) under ultrasonic guidance for needle placement (CPT code 76942), and frequently do them in addition to transrectal echography (CPT code 76872). Physicians rarely perform the more invasive biopsy procedure (CPT code 55705).