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Prostate Specific Antigen (PSA) Test Coding Tips

Posted on 17. Apr, 2009 by in Hot Coding Topics

Make sure you know when to support your coding with V76.44.

Determining the proper code to report for a PSA test can be a challenge. Your key to proper prostate specific antigen test coding lies in your ability to distinguish a screening PSA test from a diagnostic PSA test. Follow these expert tips to ensure you’re choosing the right codes every time.

Differentiate Screening From Diagnostic

Screening: You should report a screening PSA for a Medicare beneficiary using G0103 (Prostate cancer screening; prostate specific antigen test [PSA]). Some other payers follow these same guidelines.

Don’t miss PQRI for Urology: How to Get the Full Incentive Bonus, with Dr. Michael Ferragamo.

Medicare requires that all yearly screening PSAs be billed with G0103, says Elizabeth Hollingshead, CPC, CMC, corporate billing/coding manager of Northwest Columbus Urology Inc. in Marysville, Ohio.

Diagnostic: The correct code...

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