G0416 – Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

Long description

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

Short description

Prostate biopsy, any mthd

Pricing indicator

13 Priced by the Medicare contractor (carrier)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

T1G Lab tests - other (Medicare fee schedule)

Added

January 1, 2009

Last change

January 1, 2015 – No change

Nearby G codes

• G0408 – Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth
• G0409 – Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)
• G0410 – Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes
• G0411 – Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes
• G0412 – Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed
• G0413 – Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)
• G0414 – Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)
• G0415 – Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)
• G0417 – Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 21-40 specimens
• G0418 – Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 41-60 specimens
• G0419 – Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, >60 specimens
• G0420 – Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour
• G0421 – Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour
• G0422 – Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session
• G0423 – Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session
• G0424 – Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day