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Oncology & Hematology Coding Alert

You Be the Coder:

Biopsy Isn't Mandatory to Diagnose Cancer

Published on Tue Mar 19, 2019

Question: In an elderly patient, who showed signs of bone metastasis, our physician wants to avoid a prostate biopsy. The patient has very high PSA levels which are indicative of prostate cancer. Our physician has chosen Lupron as the next plan of therapy for this patient. Medicare may not cover Lupron without a diagnosis of prostate cancer. Is it mandatory [...]
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