Laboratory

Laboratory Question for the Week of June 1, 2020

Laboratory Compliance Question of the Week

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

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.

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