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coding for psa screening lab

  1. Default coding for psa screening lab
    Medical Coding Books
    I received a denial from bc/bs for psa screening lab. I used 84153 with diag. code v76.44 this was denied. When I called bc/bs they state the cpt should be a screening code, should I have used G0103 with V76.44. They denied all the labs on this claim because of this one claim line. This was a screening lab for the patient.

    Any input would be appreciated .

  2. #2
    the screening code, V76.44, is used only with G0103, to use 84153, you would need a dx pertinent to the prostate, as in 600.00, 600.01. the V76.44 cannot be used with the diagnostic 84153 test.

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