Reader Questions: 'V' Code Can Help You Support Lab Test Claims
Question:Our laboratory received an order for a PSA test for a patient one year after successful prostate cancer treatment. What diagnosis and procedure codes should we use?
Answer:
Assuming the ordering physician does not list clinical evidence of recurrent prostate cancer as the reason for the test, you should report the diagnosis as V10.46 (Personal history of malignant neoplasm; genital organs; prostate) and report 84153 (Prostate specific antigen [PSA]; total) for the PSA test.Take care with cancer Dx: Don't list 185 (Malignant neoplasm of prostate) if the ordering physician does not indicate that this is a current...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: