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Old 07-02-2009, 07:19 AM
Yihlin Yihlin is offline
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Smile Need help with PSA G0103 coding

Here is my dilemma: patient came in for a physical. The doctor ordered a PSA test. Blood was drawn and then sent to an outside lab. Could we bill for the code G0103 because it was a screening code?? or we couldn't use the G0103 code because we only did the venipuncture??
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Old 07-02-2009, 09:05 AM
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rthames052006 rthames052006 is offline
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Quote:
Originally Posted by Yihlin View Post
Here is my dilemma: patient came in for a physical. The doctor ordered a PSA test. Blood was drawn and then sent to an outside lab. Could we bill for the code G0103 because it was a screening code?? or we couldn't use the G0103 code because we only did the venipuncture??
Your office would not be billing for the actual test, just the draw fee (venipuncture). The outside lab will bill for the G0103.

Hope this helps
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Old 07-02-2009, 10:54 AM
Yihlin Yihlin is offline
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Thanks for your help!
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Old 07-28-2009, 03:43 PM
rona366 rona366 is offline
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Default Billing G0103 with Medicare Preventive Visit

I also have a question regarding G0103. Our office performs this test in house and we are wondering if G0103 is included in the list of "carve out" services when billed with a preventive visit. Thanks to anyone that can help!!
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