[Histonet] Prostate needle saturation biopsies

[Lester Raff MD]

We participated in the CAP teleconference in December.  The CAP
recommendation is to use 1 of the G codes per case and that it does not
matter how many jars are submitted, just how many cores. (Yes, this is
different than the standard 1 jar/ 1 billing code policy).

Lester J. Raff, MD
Medical Director
UroPartners Laboratory
2225 Enterprise Dr. Suite 2511
Westchester, Il 60154
Tel 708.486.0076
Fax 708.486.0080
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Cazares,
Ruth
Sent: Thursday, January 22, 2009 12:59 PM
To: Histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Prostate needle saturation biopsies

Hello Histonetters,

With the new Medicare G codes for saturation biopsies of the prostate,
the flyer reads:

G0416, Surgical pathology gross and microscopic exam for prostate needle
saturation biopsy sampling, 1 to 20 specimens.
G0417, 21 to 40 specimens.
G0418, 41 to 60 specimens.
G0419, greater than 60 specimens.

We seem to be having a difference of opinion as to how we should use
these new codes.  Some of us think that if we get forty cores both G0416
and G0417 should be used. Some think only G0417 should be used and some
just don't know. Medicare was no help, they said "Write a letter".

How are others out there using these codes?


Ruth Cazares
Histology Supervisor
Department of Pathology
Swedish Covenant Hospital


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