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MRI-Ultrasound fusion prostate biopsy

Date: Oct 27, 2023

Question:

We have a physician who is performing transperineal MRI-ultrasound fusion prostate biopsies. As a preparatory step of the procedure, MRI segmentation and contouring of the prostate is required. This step is usually performed by the radiologist, but they use a different system at this site and the urologist is performing this step. He was told by a vendor this step is billable with code 76377 and that the contouring/segmenting needs to be done on a day other than the day of the biopsy. Would you agree that codes 76377 and 72197 could be billed by the urologist if the documentation supports billing the two codes?

Question ID : 19529
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