(Reproduced by permission from Medicare Focus, August, 1997, pp. 41 - 43.)

Medicare Part A
Local Medical Review Policy
Prostatic Acid Phosphatase (PAP)

Policy Number: 96-10

Description

84066 Phosphatase, acid; prostatic (PAP)

Type of Bill: 13X, 14X, 22X, 23X, 71X, 74X, 75X

Revenue Codes: 300 - 319

Indications and Limitations

This test is performed to aid in the management of prostate cancer patients and in detecting metastatic or persistent disease in patients following treatment.

HCPCS Codes: 84066

Diagnosis Codes for Coverage

ICD-9-CM Code Description
185 Malignant Neoplasm of Genitourinary Organs
198.5 Malignant Neoplasm of Other and Unspecified Sites
222.2 Benign Neoplasms
233.4 Carcinoma In Situ
236.5 Neoplasms of Uncertain Behavior
239.5 Neoplasms of Unspecified Nature
790.93 Nonspecific Abnormal Findings


Category:

Pathology and Laboratory

Reason for Denial

Routine screening.

Noncovered Diagnosis Codes

Medicare does not cover the PAP (Prostatic Acid Phosphatase) test for routine screening purposes.

Sources of Information

1996 CPT Book, American Medical Association, p. 305
Laboratory and Diagnostic Tests, Fifth Edition, Lippincott, 1996
Other Carriers' Policies

Coding Guides

Submit CPT code 84066 with the appropriate ICD-9 diagnosis code.

Documentation Required

ICD-9 diagnosis codes are required on claim.

Medical records must clearly document the medical necessity for the test and the frequency of the test.

If documentation is requested for review, submit the following:

  • History and Physical;
  • MD orders/progress notes
  • Diagnosis/reason for test
  • Test results
  • Itemization of charges


Comments

This policy is being adapted from the Carrier policy. It does not represent the sole opinion of the Intermediary/Medical Director. This policy was developed in consultation with the medical community via the Carrier Advisory Committee.

Date of Notice and Comments: April 3, 1996
Notice Period Date: October, 1996
Effective Date of Policy: November 1, 1996