Wiki Eligard

[Katyatbeach]

It has always been my understanding that to give a patient hormone treatment that a tissue diagnosis is needed but my provider tells me that is no longer true. He states that if the PSA is very high and his CT scan shows sclerotic lesions we no longer need a tissue diagnosis per the AUA. Does anyone know if this is true and if Medicare will allow that??

 

[CBLENNIE]

If Palmetto GBA is your Part B MAC you can review their LCD 39387 Luteinizing Hormone-Releasing Hormone (LHRH) Analogs as well as their billing and coding Article A59160 Luteinizing Hormone-Releasing Hormone (LHRH) Analogs and you should be able to find your answer their about whether or not what your provider is telling you is accurate based on the official Medicare guidelines.