55712 Biopsy prst8 tprnl mri-us first
Also known as: TP-MRI fusion biopsy first, transperineal fusion biopsy
Prostate biopsy using transperineal approach with magnetic resonance imaging-ultrasound fusion guidance (first set).
In Plain Language
prostate biopsy through perineum with fusion imaging
Clinical Context
Transperineal magnetic resonance imaging-ultrasound fusion biopsy for first targeted sampling of prostate lesion.
RVU Breakdown
| Work RVU | 3.10 |
| Total RVU | 3.10 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.10, this code ranks in the 22nd percentile among Surgery codes — 2.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 55712?
CPT 55712 (Biopsy prst8 tprnl mri-us first) is a Surgery code. Prostate biopsy using transperineal approach with magnetic resonance imaging-ultrasound fusion guidance (first set).
What is the wRVU value for CPT 55712?
The work RVU for CPT 55712 is 3.10. This code is primarily used by Urology, Oncology.
When is CPT 55712 used?
Transperineal magnetic resonance imaging-ultrasound fusion biopsy for first targeted sampling of prostate lesion.
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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.