Codes That Are Not Covered by Medicare (Removal of ICD-9-CM Code V76.44, Prostate Cancer Screening, From the List)

What diagnosis code would you want the provider to use if a male patient is oredered to go for Ultrasound of his prostate when they are enlarged and/or having pain?

If V76.44 is removed from the list of ICD-9-CM codes that are not covered by Medicare, will V76.44 be added to the list of covered ICD-9-CM codes in the NCD for PSA thus allowing a Medicare claim filed with CPT 84153 (Total PSA) and ICD-9-CM V76.44 (special screening for prostate cancer) to be reimbursed? Will the age and frequency limits be applied to that CPT/ICD- 9-CM code combination?

V76.44 should be a covered diagnosis code.

Of course ICD V76.44 must be removed from the list of non-covered tests. It is presently covered! Leaving it on the list will deny services to low income men as they will refuse the test when they are told they will have to pay for it.

IT IS MY OPINION THAT THE CODE SHOULD DEFINITELY BE REMOVED SINCE A SCREENING CPT IS IN PLACE. WHAT BETTER DIAGNOSIS CODE COULD BE USED THAN A SCREENING FOR MALIGNANT NEOPLASMS.....IS THAT NOT THE SOLE PURPOSE OF PSA SCREENINGS?

I think this would be a fantastic move. Screening for any type of cancer is vital to it's early detection and treatment.

PATIENTS WITH MEDICARE SHOULD BE ELIGIBLE FOR CERTAIN SCREENING SERVICES EACH YEAR AND I PERSONALLY BELIEVE THAT BY REMOVING V76.44 FROM THE COVERAGE LISTS PREVENTS PATIENTS FROM TAKING ADVANTAGE OF SPECIFIC SCREENING SERVICES THAT SHOULD BE COVERED

this diagnosis should be covered because most psa are administered for screening to identify problems. this screening is necessary for men in certains age groups or with a family history.

Please spell out the change for coding and billing alike, these changes create billing issues if everyone involved in the Revenue Cycle is not properly educated.

Roxanne Urbanek, R.H.I.T. Illiana Surgery& Medical Institute

Remove V76.44 from the list of not covered Medicare service codes. Non-covered Medicare codes are causing problems and delays with claim processing. Easily accessible, clear guidance and accurate listings would be very helpful.
Thank you for the opportunity to provide input.

Thank you for taking this stumbling block out of the way for proper coding and reimbursement.

Please remove the ICD-9 Code V76.44 from the noncoverage list. Since the population is growing in age, we want to make sure that men are receiving the preventative care they need to avoid prostate cancer. At the same time, this will decrease cost to the Medicare program by catching cancer early. Thank you

If we can no longer use that code what will we use for a prostate cancer screening?