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Pathology/Lab Coding Alert

You Be the Coder:

Count Specimens for Medicare Prostate Biopsy Codes

Question: The pathologist received and examined six prostate biopsy specimens. Should I use G0416 for the interpretation and report? Texas Subscriber Answer: No, you should not use G0416 (Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens) when your pathologist examines six prostate biopsy specimens. Instead, you should report six units of 88305 (Level IV - Surgical [...]