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Old 05-04-2011, 07:30 PM
JAMES JAMES is offline
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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 .
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Old 05-05-2011, 06:34 AM
bsuse bsuse is offline
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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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