Medicare Coverage & Payment

CMS short descriptor: Sat biopsy prostate: >60
Medicare coverage: Carrier judgment (CMS coverage code C)
Pricing indicator: 13
BETOS: T1G — Lab tests - other (Medicare fee schedule)
Last CMS action effective: January 1, 2015
Terminated: December 31, 2014

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Code Set: Removed from the code set — not valid on or after January 1, 2015.

Contextual Map

Every relationship of G0419 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (40)

G0400 — Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels[Sibling]— CMS HCPCS Level II code set
G0402 — Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment[Sibling]— CMS HCPCS Level II code set
G0403 — Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report[Sibling]— CMS HCPCS Level II code set
G0404 — Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination[Sibling]— CMS HCPCS Level II code set
G0405 — Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination[Sibling]— CMS HCPCS Level II code set
G0406 — Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth[Sibling]— CMS HCPCS Level II code set
G0407 — Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth[Sibling]— CMS HCPCS Level II code set
G0408 — Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth[Sibling]— CMS HCPCS Level II code set
and 32 more

Change history (2)

January 1, 2015 — Removed from the code set [Change history]— CMS release files (code change ledger)
and 1 more

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, descriptors, coverage and pricing attributes Official source data: CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data: CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship: Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation: Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

January 1, 2015
Removed from the code set
Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, >60 specimens
January 1, 2009
Added to the code set
Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, >60 specimens

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G0419 in its code family, with their registry titles.

G0419 HCPCS Level II Code: Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, >60 specimens