Very shortly we will be distributing new requisitions to our clients. You will notice a change in your order options for the Occult Blood and PSA test. The new Occult Blood test (EFOBT) will give you the option of ordering either an Occult Blood Screen (EFOBT) or an Occult Blood Diagnostic (EFOBT) test on your patient. The appropriate test should be ordered on all patients. Medicare does not pay for Occult Blood screening and we will ask the patient to sign an ABN for this test. You will also have the option of ordering a PSA Screen or a PSA Diagnostic test on your patient. The same concept applies to the PSA test. The appropriate test should be ordered on all patients. Medicare will only pay for PSA Screening once every twelve months on a male who is 50 years or older. Medicare patients will be asked to sign an ABN for all screening PSA tests.
Please remember, we need appropriate ICD-9 codes to match the test you are ordering. NCD books have been distributed to our clients outlining which ICD-9 codes Medicare will accept when ordering diagnostic testing for the Occult Blood and PSA Diagnostic tests. If you have not received your NCD book, please contact your sales/service representative. Note: Please remind your patients that the new Occult Blood (EFOBT) test must be received by the laboratory within 5 days of collection.