We’ve used 88305 to report surgical pathology prostate biopsies, but continue getting denials, why is this?
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|
This question was answered in our Coding Essentials for Laboratories book. For more hot topics relating to laboratory services, please visit our store or call us at 1.800.252.1578, ext. 2.