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Urology Coding Alert

Screen PSA Documentation to See When Claims Deserve a G Code

Published on Fri May 15, 2009

Plus, make sure you know when to support your coding with V76.44. Prostate specific antigen (PSA) tests are often commonplace in a urology practice.Determining the proper code to report can be a challenge, however. Your key to proper coding lies in your ability to distinguish a screening PSA test from a diagnostic PSA test. Follow these expert tips to ensure youre 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. 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 for a diagnostic PSA test is 84153 (Prostate specific antigen [PSA]; total), says Teresa A. Dailey, CPC, coding specialist for [...]
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