sandyg68
Contributor
If anyone out there could please explain to me the guidelines for billing 36415 and 84153 together? Sometimes I get a denial for 84153 and I can't seem to find a rule for this! I would be forever grateful!!!
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Wiki billing 36415 and 84153
- Thread starter sandyg68
- Start date
RebeccaWoodward*
True Blue
What type of denial are you receiving? Could it be your diagnosis? Below is the NCD for 84153. Select July 2010 under "Covered Code Lists (including narrative)"
http://www.cms.gov/mcd/viewncd.asp?...basket=ncd:190.31:1:Prostate+Specific+Antigen
Also...there is a "G" code for screening Medicare patients....G0103.
http://www.cms.gov/mcd/viewncd.asp?...basket=ncd:190.31:1:Prostate+Specific+Antigen
Also...there is a "G" code for screening Medicare patients....G0103.
kathleeng
Guru
I'm also having this same issue on this. I know this post is old, but have you received any updated information on this?
b.cobuzzi
Expert
You may have better success in getting an answer to this question, Kathleeng by posting in the Pathology and Clinical Laboratory Forum.
kathleeng
Guru
Good idea! I did post it on the "general coding discussion" forum because I was having trouble finding the lab forum, but I will definitely do this. Thank you!!