CPT Code 55700: Under Incision Procedures on the Prostate

CPT Code 55700: Under Incision Procedures on the Prostate

Understand CPT code 55700 for prostate biopsies, including documentation, billing guidelines, related codes, and frequently asked questions.

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Frequently asked questions

Yes. If ultrasound or other imaging guidance is medically necessary and clearly documented, you may bill it separately using CPT code 76942. Check specific payer guidelines to confirm coverage.

Local anesthesia administered by the performing provider is included. Moderate sedation, general or spinal anesthesia performed by another qualified provider can be billed separately if properly documented.

Yes. Pathology interpretation can be billed separately per core using CPT code 88305 for each prostate core sample submitted. Verify payer-specific limits or restrictions on the number of cores billed per session.

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