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3 Tips for Proper PSA Test Coding - AAPC Knowledge …

    https://www.aapc.com/blog/51678-3-tips-for-proper-psa-test-coding/
    Prostate specific antigen (PSA) screenings are commonplace in most urology practices, which means if you don’t have your procedure and diagnosis coding straight, you may face high denial rates and possibly significant revenue loss. Avoid those pitfalls with these three tips. TIP 1 – Determine Screening or Diag… See more

Coding Tips for Prostate Cancer Screening, …

    https://aihc-assn.org/coding-tips-for-prostate-cancer-screening-diagnosis-and-treatments/
    In its early stages, prostate cancer is highly treatable, with five-year survival rates close to 100%. Once prostate cancer …

Medicare National Coverage Determination Policy …

    https://www.questdiagnostics.com/content/dam/corporate/restricted/documents/mlcp/mlcp/national-guides/national-mlcp-190-31-prostate_specific_antigen/National---MLCP---190-31---Prostate-Specific-Antigen.pdf
    PSA Coverage Indications, Limitations, and/or Medical Necessity Prostate Specific Antigen (PSA), a tumor marker for adenocarcinoma of the prostate, can predict residual tumor in …

CPT CODE 84153, g0103 – Prostate Specific Antigen

    https://medicarepaymentandreimbursement.com/2016/09/cpt-code-84153-g0103-prostate-specific.html
    Medicare provides coverage of an annual preventive prostate cancer screening PSA test and DRE once every 12 months for all male beneficiaries age 50 and older (coverage …

Question - BCBS, Screening PSA (G0103) denials

    https://www.aapc.com/discuss/threads/bcbs-screening-psa-g0103-denials.184607/
    The PSA lab test needs to linked first with a definitive dx code such as N42.9, Disorders of the Prostate, or dx blocks of N40 or E29 or N52 per pt. documented problem …

Prostate-Specific Antigen (PSA) Screening for …

    https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0215_coveragepositioncriteria_psa_test_screen_detect_prostate_ca.pdf
    Serum total PSA was the only PSA-based test available in early detection programs for prostate cancer. Since then, several PSA derivatives have been developed …

Prostate-Specific Antigen (PSA) Test

    https://www.cancer.gov/types/prostate/psa-fact-sheet
    Prostate-specific antigen, or PSA, is a protein produced by normal, as well as malignant, cells of the prostate gland. The PSA test measures the level of PSA in the blood. For this test, a blood sample is sent to …

Medicare Coverage for Prostate Specific …

    https://www.medicarefaq.com/faqs/medicare-coverage-for-prostate-specific-antigen-psa-test/
    A standard PSA test can cost you between $60 and $80. Depending on the care level you need following the initial screen, you can expect to pay more. You may need follow-up visits and …

Billing and Coding: Biomarker Testing for Prostate …

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56609
    AHA copyrighted materials including the UB‐04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or …

PSA test - Mayo Clinic

    https://www.mayoclinic.org/tests-procedures/psa-test/about/pac-20384731
    PSA is a protein produced by both cancerous and noncancerous tissue in the prostate, a small gland that sits below the bladder in males. PSA is mostly found in …



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