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Urology Coding Alert

Reader Questions:

Turn to 36415 For In-Office PSA Blood Draw

Published on Tue Nov 16, 2010

Question: Is there any way to get paid for an established office visit when a patient comes in for a PSA screening? I know we can't bill for the PSA that is determined by an outside lab, but I thought we could get some reimbursement.Answer: You should report 36415 (Collection of venous blood by venipuncture) if your practitioner only performed a blood draw.If he also performed an office visit for a particular problem during the same encounter, then code the E/M service as well using the appropriate office visit code, such as 99213 (Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity ...).Alternately: If your physician also performed a screening rectal examination, bill only for the screening visit using [...]
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