84153 Medical Necessity

Medicare National Coverage …

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

Medicare National Coverage Determination Policy …

https://www.questdiagnostics.com/content/dam/corporate/restricted/documents/mlcp/mlcp/medi-cal/uhc/National%20-%20MLCP%20-%20190.31%20-%20Prostate%20Specific%20Antigen.pdf

84153 Prostate Specific Antigen PSA Coverage Indications, Limitations, and/or Medical Necessity Prostate Specific Antigen (PSA), a tumor marker for adenocarcinoma …

Article - Billing and Coding: Biomarker Testing for …

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56609&LCDId=37733&DocID=L37733

The CPT codes in Group 1 are considered medically necessary when ordered by a physician or other qualified health care professional (i.e., NP, CNS, PA). PCA3 …

National Coverage Determination Procedure Code: 84153 …

https://www.hnl.com/HNL/media/PDF/ICD_10/Prostate-Specific-Antigen-(PSA)-2019.pdf

Procedure Code: 84153 Prostate Specific Antigen CMS Policy Number: 190.31 Back to NCD List Description: Prostate Specific Antigen (PSA), a tumor marker for adenocarcinoma of …

NCD - Prostate Specific Antigen (190.31) - Centers for …

https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=152

Item/Service Description. Prostate Specific Antigen (PSA), a tumor marker for adenocarcinoma of the prostate, can predict residual tumor in the post-operative …

3 Tips for Proper PSA Test Coding

https://www.aapc.com/blog/51678-3-tips-for-proper-psa-test-coding/

84154 Prostate specific antigen (PSA); free Pointer: Most often, urology practices perform PSA testing that correlates to CPT® 84153. You’ll rarely use 84152, and you’ll only use 84154 if there is …

CPT CODE 84153, g0103 – Prostate Specific Antigen

https://medicarepaymentandreimbursement.com/2016/09/cpt-code-84153-g0103-prostate-specific.html

UnitedHealthcare Community Plan reimburses for Prostate Specific Antigen (PSA) (CPT code 84153), when the claim indicates a code found on the list of approved diagnosis …

Medicare National Coverage Determination Policy …

https://www.questdiagnostics.com/content/dam/corporate/restricted/documents/mlcp/mlcp/national-guides/national-mlcp-190-27-human_chorionic_gonadotropin/National---MLCP---190-27---Human-Chorionic-Gonadotropin.pdf

It is not reasonable and necessary to perform hCGtesting more than once per month for diagnostic purposes. It may be performed as needed for monitoring of patient progress …

NCD - Prostate Cancer Screening Tests (210.1)

https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=268&=

This screening must be performed by a doctor of medicine or osteopathy (as defined in §1861(r)(1) of the Act), or by a physician assistant, nurse practitioner, clinical …

Thyroid Testing - Quest Diagnostics

https://www.questdiagnostics.com/content/dam/corporate/restricted/documents/mlcp/mlcp/national-guides/national-mlcp-190-22-thyroid_testing/National---MLCP---190-22---Thyroid-Testing.pdf

Thyroid function studies are used to delineate the presence or absence of hormonal abnormalities of the thyroid and pituitaryglands. These abnormalities may be either …