[Histonet] RE: G0461 code for prostate biopsies

[Vickroy, James]

Apparently the code is G0416 not G0461.  Sorry

Jim Vickroy
Histology Manager
Springfield Clinic, Main Campus, East Building
1025 South 6th Street
Springfield, Illinois  62703
Office:  217-528-7541, Ext. 15121
Email:  jvickroy <@t> SpringfieldClinic.com<mailto:jvickroy <@t> SpringfieldClinic.com>


From: Vickroy, James
Sent: Thursday, March 19, 2015 3:14 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: G0461 code for prostate biopsies


I am told that in 2015 there are no longer G codes for medicare patient billing of IHC stains.  That is great.  However the gentleman I talked to also said that now for medicare patients there is only one G code for prostate biopsies.  G0461 to be used no matter how many of the biopsies procured.   I tried to google this to make sure he was correct.   What I found was that non medicare prostate biopsies continue to be billed 88305 but an 88305 is not to be used for a medicare patient with a prostate biopsy.   Is this everyone else's understanding?

Jim

Jim Vickroy
Histology Manager
Springfield Clinic, Main Campus, East Building
1025 South 6th Street
Springfield, Illinois  62703
Office:  217-528-7541, Ext. 15121
Email:  jvickroy <@t> SpringfieldClinic.com<mailto:jvickroy <@t> SpringfieldClinic.com>



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