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Oncology & Hematology Coding Alert

Reader Question:

Prostate Exams

Published on Fri Mar 01, 2002

Question: What are the codes for PSA and DRE?
           
New Jersey Subscriber 
 
 Answer: A prostate specific antigen (PSA) study is a blood test commonly given to check for prostate cancer. The codes are 84152 (Prostate specific antigen [PSA]; complexed [direct measurement]), 84153 (... total), and 84154 (... free). A digital rectal examination (DRE) is also performed commonly; however, there is no CPT code for it.

HCPCS codes for DRE (G0102) and PSA (G0103) are generally reported as part of a yearly physical exam and if the patient is asymptomatic.
 
The free PSA test (84154) is for men age 70 or under who had a negative biopsy after an elevated PSA or for men over age 70 who have an elevated PSA. 
  Answers to Reader Questions and You be the Coder answered by Cindy Parman, CPC, CPC-H, principal and co-founder of Coding Strategies, a coding consulting firm in Dallas, Ga.; and Margaret Hickey, MS, MSN, RN, OCN, CORLN, an independent coding consultant based in New Orleans.
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