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Outpatient Surgery E-Weekly

Unlicensed Cosmetic Surgery Hospitalizes 6 in N.J.

New Jersey medical authorities are investigating the incidence of and issuing alerts on unlicensed cosmetic surgery providers after 6 women suffered...

Rotator Cuff Repair Restores Strength, Not Function

Rotator cuff surgery may restore a patient's normal shoulder strength, but mobility issues persist in the repaired joint, according to researchers a...

Do Patients Expect Too Much From Joint Replacement?

Even with a thorough pre-op education program, more than two-thirds of joint replacement patients don't share the expectations that their surgeons d...

Archive > February, 2007 Vol. VIII, No. 2
Coding & Billing
Prostate Biopsy Technique in Search of a CPT Code
Lisa Weston, CPC-H, LHRM

If your surgeons are performing a new procedure to collect prostate biopsies, you'll likely have a hard time getting paid for it.

For one thing, there's no CPT code for stereotactic transperineal prostate biopsy, only alphanumeric code 0137T, a temporary code that carriers use for tracking and trending purposes. The only way that some surgical centers may be getting reimbursed for the procedure is by billing it as 55700 (biopsy of prostate), but this isn't sound strategy.

Categories: Code/Bill/Reimburse, Pathology
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