September 1st, 2017
The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Prostate Cancer Screening:
|G0102 -||Prostate cancer screening; digital rectal examination (DRE)|
|G0103 -||Prostate cancer screening; prostate specific antigen test (PSA)|
Who Is Covered
All male Medicare beneficiaries aged 50 and older (coverage begins the day after 50th birthday)
Medicare Beneficiary Pays
- Copayment/coinsurance applies
- Deductible applies
- Copayment/coinsurance waived
- Deductible waived
Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.
Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.