Wiki PSA Testing & Medicare

[eileenmcbean]

We regularly test for Prostate-Specific Antigen for patients on testosterone therapy, every three to four months. Medicare reimburses for one test per year but is there any ICD-9 code available for more tests?

 

[airart]

I found this link regarding this topic.

The NCD mentions the only way these are covered more than once every 12 months is when the results are “abnormal.”

http://www.cms.gov/medicare-coverag...ails.aspx?NCDId=152&ncdver=1&bc=BAIAAAAAAAAA&