• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

PSA for history of prostate cancer

T

tadailey

Contributor
Messages
18
Location
Spartanburg, SC
I've been receiving denials for patients PSAs with Z85.46 (personal history of prostate cancer). Some commercial insurance companies, including BCBS, is considering this as routine services and is patient's responsibility. I don't understand how this is considered routine services and what is the best course to appeal this denial. I cannot change the diagnosis code to C61 because the patients have received treatment, ie; prostatectomy, HDR, and there is no evidence of disease and is not being actively treated for prostate cancer and my physicians are only monitoring the PSA. So my question is how can I fix this??
 
Last edited by a moderator:
You must log in or register to reply here.
Top