UHC Laboratory Services Policy, Professional:1/1/2021 Policy Version Change Surgical Pathology for Prostate Needle Biopsy Section Added

Surgical Pathology for Prostate Needle Biopsy In alignment with CMS, UnitedHealthcare requires surgical pathology for prostate needle biopsy specimens (including gross and microscopic examination) to be reported with HCPCS code G0416, rather than 88305. Code G0416 represents 1 unit of service regardless of the number of specimens examined. Code 88305 will not be reimbursed for prostate needle biopsy surgical pathology.

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Laboratory-Services-Policy.pdf