What is a normal Phi score?
What does phi score mean?
Table of Contents
phi Range* | Probability of Cancer | 95% Confidence Interval |
---|---|---|
0-26.9 | 9.8% | 5.2%-15.4% |
27.0-35.9 | 16.8% | 11.3%-22.2% |
36.0-54.9 | 33.3% | 26.8%-39.9% |
55.0+ | 50.1% | 39.8%-61.0% |
What is the best screening test for early detection of prostate cancer?
Prostate cancer can often be found early by testing for prostate-specific antigen (PSA) levels in a man’s blood. Another way to find prostate cancer is the digital rectal exam (DRE). For a DRE, the doctor puts a gloved, lubricated finger into the rectum to feel the prostate gland.

What ICD 10 code covers PSA screening?
Report HCPCS Level II code G0102 Prostate cancer screening; digital rectal examination or G0103 Prostate cancer screening; prostate specific antigen test (PSA), total, as appropriate, with ICD-10-CM diagnosis code Z12. 5 Encounter for screening for malignant neoplasm of prostate (ICD-9-CM V76.
Is phi better than PSA?
Overall, phi provides superior diagnostic accuracy and better risk stratification than total PSA or %-free PSA as shown by ROC above the curve analysis. At a 95% sensitivity, using phi for risk stratification will result in an improvement in the number of men with benign disease who would be spared from a biopsy.

Why PSA test is not recommended?
Expert guidelines don’t recommend PSA screening in men 70 and older. Because of their more limited lifespan, these men are less likely to benefit from early detection of low-risk cancer. One reason is that there may be simply less time for the condition to become life threatening in most men.
What diagnosis will cover PSA for Medicare?
Prostate cancer screenings. Part B covers certain doctors’ services, outpatient care, medical supplies, and preventive services. covers digital rectal exams and prostate specific antigen (PSA) blood tests once every 12 months for men over 50 (starting the day after your 50th birthday).
Is phi test covered by Medicare?
Prostate Health Index (PHI) for the screening and detection of prostate cancer is investigative and unproven and therefore NOT COVERED.
What diagnosis codes cover PSA?
. Medicare coverage for screening PSAs is limited to once every 12 months Diagnostic PSAs CPT codes for diagnostic PSA tests are 84153: EPIC: LAB4427 TIP: Free and Total PSA is a diagnostic PSA and should be coded as such.
What is the ICD-10 code for PSA?
ICD-10 code R97. 2 for Elevated prostate specific antigen [PSA] is a medical classification as listed by WHO under the range – Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
At what age does Medicare stop paying for PSA test?
Medicare coverage Medicare covers PSA blood test and a DRE once a year for all men with Medicare age 50 and over. There is no co-insurance and no Part B deductible for the PSA test. For other services (including a DRE), the beneficiary would pay 20% of the Medicare-approved amount after the yearly Part B deductible.
How many times a year will Medicare pay for a PSA test?
How much does a phi blood test cost?
The cost of phi test varied between $72 to $130 in different medical centers. Under different phi cutoffs (from 23 to 35), phi test predicted reductions of 420 (21.7%) to 972 (50.2%) in unnecessary biopsies, with a total gain of 23.77–57.58 quality adjusted life-years compared to PSA tests.