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.
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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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