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55713 Biopsy prst8 in-bore CT/MRI biopsy 1

Surgery Global 0d

Also known as: in-bore CT/MRI biopsy, imaging-guided biopsy in-bore

Prostate biopsy performed in-bore during computed tomography or magnetic resonance imaging (first set).

In Plain Language

prostate biopsy during imaging

Clinical Context

Prostate biopsy performed inside computed tomography or magnetic resonance imaging scanner for direct visualization and guidance.

RVU Breakdown

Work RVU4.00
Total RVU4.00

Est. Medicare Payment

$133.60

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 4.00, this code ranks in the 28th percentile among Surgery codes — 2.0x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

UrologyOncologyInterventional Radiology

Frequently Asked Questions

What is CPT code 55713?

CPT 55713 (Biopsy prst8 in-bore CT/MRI biopsy 1) is a Surgery code. Prostate biopsy performed in-bore during computed tomography or magnetic resonance imaging (first set).

What is the wRVU value for CPT 55713?

The work RVU for CPT 55713 is 4.00. This code is primarily used by Urology, Oncology, Interventional Radiology.

When is CPT 55713 used?

Prostate biopsy performed inside computed tomography or magnetic resonance imaging scanner for direct visualization and guidance.

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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.