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You Be the Coder: Consider Other Factors Besides ICD-9 and CPT® In Case of Denial

Published in Internal Medicine Coding Alert, July 2010

Question: A patient undergoes prostate cancer screening in my practice. On the claim, I reported V76.44 for diagnosis, and G0103 for the screening service. Yet, I got denied. Why?Tennessee Subscriber
Answer: Code V76.44 (Special screening for malignant neoplasms, prostate) supports G0103 (Prostate cancer screening; prostate specific antigen test [PSA]). Go back and check your HCPCS code. Remember, the two most common screenings used by physicians to detect prostate cancer are DRE and PSA blood tests. They [...]


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Published in Internal Medicine Coding Alert, July 2010
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