Coding on 12 to 32 saturation core biopsies of prostates

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y2k_free_radical

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Are number of charges limited to a maximum of 88305 s x 6

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y2k_free_radical

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No, you can still bill 88305 x 12 if they have private insurance. Medicare is G0146.
You may find these recent threads interesting. Although they're applicable to IHC.

http://forums.studentdoctor.net/threads/anyone-else-getting-fleeced-on-the-new-pin-4-codes.1144830/
http://forums.studentdoctor.net/threads/prostate-g0416.1188726/
What about 32 prostate biopsies submitted in 32 separate containers that i sometimes receive in so called saturation biopsies of the prostate to rule out any carcinoma that previous biopsies may have missed?
 

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For CMS, G0416 whether its one biopsy or 1,000.
 
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