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  • Prepare for New Prostate Procedure CPT® Codes in 2026 - AAPC
    The 2026 CPT® code book adds the following codes for in-bore prostate biopsies using CT or MRI guidance: 55713 (Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion (s), first targeted lesion) 55714 (Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion (s) only, first targeted lesion)
  • Surgical pathology, gross and microscopic examinations, for prostate . . .
    G0416, Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, Codify by AAPC, HCPCS Codes
  • Cpt 55700 76942 76872 | Medical Billing and Coding Forum - AAPC
    Ÿ 55700, for the needle biopsy of the prostate Remember, the use of 76872 does not preclude reporting 76942 If you keep in mind the intent of the ultrasound procedure codes, coding for the diagnostic ultrasound procedure is also straightforward The intent of code 76872 is to describe a diagnostic transrectal ultrasound
  • 55700 Is Only Procedure Code for Prostate Fusion Biopsy - AAPC
    55700 – Biopsy, prostate; needle or punch, single or multiple, any approach 76872 – Ultrasound, transrectal You could file 76498 (Unlisted magnetic resonance procedure [e g , diagnostic, interventional]) for the additional work of fusing the MRI and the ultrasound, but know it is unlikely to be reimbursed
  • Magnetic Resonance Imaging with Transrectal Ultrasound Fusion . . . - AAPC
    Magnetic Resonance Imaging with Transrectal Ultrasound Fusion-Guided Prostate Biopsy A new technique for performing prostate biopsy(ies) uses pre-biopsy magnetic resonance images (MRI), which is also known as multiparametric MRI, that are uploaded to a computer with special software that fuses the MRI images to real-time transrectal ultrasound (TRUS) images to guide the prostate biopsy There
  • Urology Coding Alert - AAPC
    Explore coding guidelines and procedural insights for prostate fusion biopsy, including the use of procedure code 55700, on AAPC's comprehensive platform
  • CPT® Code 76872 - Diagnostic Ultrasound Procedures of the . . . - AAPC
    Procedure: Transrectal ultrasound imaging of the prostate and seminal vesicals with transrectal ultrasound-guided biospsy of the right seminal vesicle mass and right base of the prostate
  • CPT® Code 00902 - Anesthesia for Procedures on the Perineum - AAPC
    The Current Procedural Terminology (CPT ®) code 00902 as maintained by American Medical Association, is a medical procedural code under the range - Anesthesia for Procedures on the Perineum
  • CPT® Code 55706 - Incision Procedures on the Prostate - AAPC
    The Current Procedural Terminology (CPT ®) code 55706 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Prostate
  • Wiki - New prostate biopsy CPT codes | Medical Billing and . . . - AAPC
    CPT 55707 should be payable in POS 11 (Office), so widespread denials often indicate payer system edits that haven't been updated for the new 2026 prostate biopsy codes the Medicare Physician Fee Schedule shows non-facility RVUs payment for 55707, which confirms that CMS expects the procedure to be billed in an office setting as well invalid for POS 11 usually points to a claims processing





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