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Official Description

Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 41-60 specimens
Short Descr Sat biopsy prostate 41-60
Coverage Carrier Priced
Pricing Indicator(s) 13 – Physician Fee Schedule - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
MPI A – Not applicable, as HCPCS priced under one methodology
Lab Cert(s) 610 – Histopathology
BETOS T1G – Lab tests - other (Medicare fee schedule)
TOS Code(s) 5 – Diagnostic laboratory
Added Date 1/1/2009
Termination Date 12/31/2014
Status Code Statutory Exclusion (from MPFS, may be paid under other methodologies)
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Ancillary Services
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 116 - Diagnostic procedures, male genital
Date
Action
Notes
2015-01-01 Deleted Deleted
2014-01-01 Changed Description Changed
2010-01-01 Changed Change in administrative data field of procedure or modifier code
2009-01-01 Added -
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