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G0416 Prostate biopsy, any mthd

G-Codes

Also known as: prostate biopsy, needle biopsy prostate, TRUS biopsy

Prostate tissue sampling by needle biopsy using any approach (transrectal, transperineal, or transurethral) for diagnostic evaluation.

Clinical Context

Used for diagnosis of elevated prostate specific antigen or suspicious findings. Multiple cores obtained to assess for malignancy.

RVU Breakdown

Work RVU3.51
Practice Expense RVU7.06
Malpractice RVU0.11
Total RVU10.68

Est. Medicare Payment

$356.71

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

UrologyOncologyPathology

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.