Post by icemandios on Sept 25, 2017 13:07:55 GMT
Sept 22, 2017: CMS ISSUES PROPOSED PAMA RATES FOR 2018 AND PROPOSED NEW CODE RATES FOR 2018
4Kscore:
67. 81539
Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total
PSA, Free PSA, Intact PSA and human kallikrein-2 [hK2]), utilizing plasma or
serum, prognostic algorithm reported as a probability score
Commenter Recommendations:
N/A
Panel Recommendation:
The voting was split between gapfill OR crosswalk to 3 TIMES code 84153
(Prostate specific antigen (PSA); total) PLUS code 84154 (Prostate specific
antigen (PSA); free).
CMS Preliminary Determination:
Maintain finalized gapfill payment from 2016.
Rationale:
We believe the gapfill payment finalized in November, 2016 is the correct rate for
this test code.
4Kscore:
67. 81539
Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total
PSA, Free PSA, Intact PSA and human kallikrein-2 [hK2]), utilizing plasma or
serum, prognostic algorithm reported as a probability score
Commenter Recommendations:
N/A
Panel Recommendation:
The voting was split between gapfill OR crosswalk to 3 TIMES code 84153
(Prostate specific antigen (PSA); total) PLUS code 84154 (Prostate specific
antigen (PSA); free).
CMS Preliminary Determination:
Maintain finalized gapfill payment from 2016.
Rationale:
We believe the gapfill payment finalized in November, 2016 is the correct rate for
this test code.