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Every 17 minutes another man dies from prostate cancer in the United States. September is National Prostate Cancer Awareness Month and a great time to help raise awareness about this disease. Prostate cancer is the most common cancer and the second leading cause of cancer death among American men. In 2019, nearly 175,000 men will […]
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INDICATIONS FOR PROCEDURE:
Pelvic mass after radical cystectomy
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DRE: prostate absent; hard mass anterior to rectum on R>L; fixed; mildly tender; approximately 3 cm
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PROCEDURE AND FINDINGS:
After the patient was positively identified, he was brought to the procedure suite. All questions were answered. Risks were reviewed to include bleeding, infection, sepsis, urinary retention and false negative findings. I confirmed that he had completed his antibiotic (cipro) and Fleets prep. It was confirmed that he has not taken anti-inflammatory medications for at least 1 week. I confirmed that he has no history of anesthetic or bleeding issues. A time out was performed confirming correct patient and procedure.
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He was placed in the left lateral decubitus position. Transrectal ultrasound probe was inserted and ultrasound was performed.
Subsequently I obtained 3 good biopsy cores from the mass.
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The probe was removed, and the procedure was terminated.
What are your thoughts? 55700? Unlisted procedure? or something different? Thanks!
Jeff
– Hospital lab receives specimen tissues from physician office for pathology study. Lab receives multiple specimens (12 in 12 jars) for the prostate biopsy foe mostly Medicare patients.
– Lab/Pathologist studies all 12 specimens individually and reports 12 final diagnoses for specimens/sites A – L.
– We are coding G0416 x 1 and 88344 x 12.
– We get paid for G0416 and 88344 x 1 (as 88344 has MUE 1 listed).
Please suggest me the proper correct way to code for this scenario. Also, if possible, what will be the highlighting points in reading prostate biopsy path report?
Thank you.