At the time Medicare developed the national coverage determinations (NCDs) for clinical diagnostic laboratory services under the negotiated rulemaking authority, Medicare did not have a prostate cancer screening benefit. Consequently, we included ICD-9-CM code V76.44, Special screening for malignant neoplasms of the prostate, on the list of codes that are not covered by Medicare along with numerous other screening services.
Subsequently, the Medicare statute was amended to add prostate cancer screening as a covered Medicare benefit. In implementing this new statutory benefit, we neglected to remove the code for prostate screening from the list of codes that are not covered by Medicare. We are proposing to remove it now and are seeking public input on this matter.
August 9, 2005
October 3, 2005