| HCPCS Code: |
G0417 |
| Long Description: |
Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 21-40 specimens |
| Short Description: |
Sat biopsy prostate 21-40 |
| Pricing Indicator 1: |
13 (Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| Statute Number: |
|
| Lab Certification Code 1: |
610 (Histopathology) |
| Coverage Code: |
C (Carrier judgment) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
|
| Berenson-Eggers Type of Service (BETOS) Code: |
T1G (Lab tests - other (Medicare fee schedule)) |
| Type of Service Code 1: |
5 (Diagnostic laboratory) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-01-2009 |
| Action Effective Date: |
01-01-2014 |
| Action Code: |
C (Change in long description of procedure or modifier code) |
