G8465 High risk recurrence pro ca
Also known as: High-risk PCa, Aggressive prostate cancer, PCa risk stratification
Documentation of high-risk prostate cancer status based on pathology grading, staging, or molecular markers indicating increased risk of recurrence.
In Plain Language
Aggressive prostate cancer; High-risk prostate tumor
Clinical Context
Used in oncology when prostate cancer demonstrates high-risk features such as high Gleason score (8-10), stage T3 or higher, or elevated prostate-specific antigen (PSA) levels at diagnosis.
RVU Information
CPT G8465 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code G8465?
CPT G8465 (High risk recurrence pro ca) is a G Codes code. Documentation of high-risk prostate cancer status based on pathology grading, staging, or molecular markers indicating increased risk of recurrence.
Who uses CPT code G8465?
CPT G8465 is used by Oncology, Urology, Pathology. Used in oncology when prostate cancer demonstrates high-risk features such as high Gleason score (8-10), stage T3 or higher, or elevated prostate-specific antigen (PSA) levels at diagnosis.
When is CPT G8465 used?
Used in oncology when prostate cancer demonstrates high-risk features such as high Gleason score (8-10), stage T3 or higher, or elevated prostate-specific antigen (PSA) levels at diagnosis.
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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.