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  • 3 Tips for Proper PSA Test Coding - AAPC Knowledge Center
    When the urologist orders a diagnostic PSA test and the documentation specifies that the test result shows an elevated PSA, report diagnosis R97 20 Elevated prostate specific antigen [PSA] If the test results are normal, however, one of the following benign prostatic hyperplasia (BPH) codes may be appropriate:
  • Coding Tips for Prostate Cancer Screening, Diagnosis, and . . .
    When ordering a PSA test, there are variables to consider and record which can cause elevated or lower PSA levels If your practice provides wellness exams and or orders prostate screening tests, it is highly recommended to modify your patient questionnaire to gather specific information for the ordering provider’s consideration
  • Prostate specific antigen (PSA) testing is considered . . .
    The PSA screening rate at a facility was calculated by dividing the number of individuals aged 40 or older who underwent PSA screening by the total number of individuals who received any care at the facility who would have been eligible for PSA screening test In 2005, the eligible VHA population included 4 678,412 individuals
  • CLINICAL PAYMENT AND CODING POLICY - Blue Cross and Blue . . .
    Repeat screening for prostate cancer with a total PSA test may be reimbursable for individuals with previous total PSA results with the following frequency: a For individuals aged <75 years, total PSA <1 ng ml and DRE normal (if done): Repeat screening at 2-4 year intervals b For individuals aged <75 years, total PSA 1-3 ng ml and DRE
  • NCD - Prostate Cancer Screening Tests (210. 1)
    These NCD coding changes are the result of newly available codes, coding revisions to NCDs released separately, or coding feedback received ( TN 12355 ) (CR13278) 08 2023 - The purpose of this Change Request (CR) is to provide a maintenance update of ICD-10 conversions and other coding updates specific to NCDs
  • How to Bill for HCPCS G0103 - coding. health
    Healthcare Common Procedure Coding System (HCPCS) code G0103 is specifically designated for the prostate cancer screening via prostate-specific antigen (PSA) blood test This code falls within the broader context of preventive healthcare services, aimed at early detection of prostate cancer in eligible male patients
  • How to Code for Prostate Cancer Screening with HCPCS Code . . .
    You’ll use G0103 but include modifier 76 to clarify that this is a repeat test performed by Dr Smith, signifying the test isn’t the first PSA Michael has had Modifier 76 is the coding professional’s tool for acknowledging that a test is being repeated Modifier 77: When the Doctor Changes, but the Test Remains
  • G0103 vs. 84153: Follow 3 Guidelines for Foolproof PSA Test . . .
    Make sure you're choosing the proper codes and assigning the proper diagnoses by learning these three expert guidelines for your PSA claims 1 Base Coding on Screening vs Diagnostic When your urologist performs a PSA test, your code choice will depend on the PSA test's purpose Medicare, and some other payers, require that you code screening





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