Go Back   AAPC Forum > Medical Coding > Pathology & Clinical Laboratory
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Thread Tools
Old 05-04-2011, 08:30 PM
JAMES JAMES is offline
Join Date: Apr 2007
Posts: 7
JAMES is on a distinguished road
Default coding for psa screening lab

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 .
Reply With Quote
Old 05-05-2011, 07:34 AM
bsuse bsuse is offline
Join Date: Apr 2007
Posts: 24
bsuse is on a distinguished road

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.
Reply With Quote

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 03:54 PM.

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC