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Urology Coding Alert

Reader Question:
Get Clear Documentation Before Assigning Cancer Diagnosis

Question: One of our physicians saw a Medicare patient and on examination suspects that he has prostate cancer. The patient refused a prostate biopsy. The physician wants to start the patient on Eligard/Firmagon injections. Can we use the diagnosis of prostate cancer to support the need for injections even though the cancer has not been confirmed by biopsy? Florida Subscriber [...]