Reimbursement Codes/0898T
CPT III · AI imaging · Proposed
0898T: Noninvasive prostate cancer estimation map
Category III code for a noninvasive prostate cancer estimation map derived from augmentative analysis of image-guided fusion biopsy and pathology, with visualisation and physician interpretation.
About this code
Category III code for a noninvasive prostate cancer estimation map derived from augmentative analysis of image-guided fusion biopsy and pathology, with visualisation and physician interpretation. Proposed SaMS move from clinical APC 5724 to New Technology APC 1510 per AUA reading of CMS Table 61. This entry uses our own plain-English summary, not the copyrighted AMA CPT long descriptor. Always confirm the current CMS addendum before billing.
Medicare statusProposed SaMS move from clinical APC 5724 to New Technology APC 1510 per AUA reading of CMS Table 61.
PaymentAUA summary of CMS Table 61: proposed New Technology APC 1510 band $801 to $900. Exact Addendum B line should be confirmed in the CMS PDF.
What changed
Proposed reassignment into New Technology APC 1510 as part of the SaMS interim policy.
Who bills under it
Hospital outpatient urology and imaging programmes using augmentative prostate mapping.
- Code
- 0898T
- Code type
- CPT III
- Category
- AI imaging
- Rule status
- Proposed
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