Theresa Posted Mon 13th of November, 2017 16:06:08 PM
IS THERE A CPT CODE FOR A FUSION USP/BX? AND IS THERE A CPT CODE FOR SATURATION USP/BX? OR DO THESE CODES FALL UNDER THE 55700?
SuperCoder Answered Mon 13th of November, 2017 23:36:20 PM
For prostate fusion biopsy, there is currently no specific CPT codes that describe this procedure. In addition, this procedure is considered investigational by many insurance carriers. The current applicable codes for prostate fusion biopsy are CPT codes 55700, 76872 and 76942. You may try to bill code 76498 (Unlisted magnetic resonance procedure [e.g., diagnostic, interventional]) for the additional work of fusing the MRI and the ultrasound, but it is unlikely to be reimbursed.
Hope that helps!