decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 4 (April)
DRE billable if only service provided
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Article Overview
This article explains Medicare billing guidance for prostate cancer screening services in the context of office visits and related preventive care. It discusses how the topic is treated in the Medicare Claims Processing Manual, who the guidance applies to, and the general relationship between screening exams, laboratory testing, and evaluation and management services.
Why This Topic Matters
It helps coders and billing staff understand the Medicare-specific scope of preventive prostate screening claims and avoid billing combinations that are not payable together.
What You Will Learn
- How the article frames Medicare coverage for prostate cancer screening services
- How the guidance relates screening exams to evaluation and management services
- Which kinds of official Medicare manual references are discussed
- What general billing situations the article addresses for screening and diagnostic prostate-related services
Who Should Read This
- Medical coders
- Urology billing staff
- Revenue cycle personnel
- Compliance staff
- Healthcare providers
Codes Discussed
Code Ranges Discussed
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