Appendix E - National Coverage Determinations Manual / PROSTATE_CANCER_SCREENING_TESTS-COVERED

Why This Topic Matters

The article helps readers identify the Medicare-covered prostate cancer screening services addressed by the policy and understand the broad coverage framework surrounding them. It is useful for organizations that need to align preventive screening billing and documentation processes with the applicable national coverage guidance.

Article Sections

1. General

   Introduces the national coverage policy for prostate cancer screening tests and states the broad coverage context and effective date.

2. Screening Digital Rectal Examinations

   Covers the screening service addressed by the policy, including eligibility, frequency context, and who may perform the examination.

3. Screening Prostate Specific Antigen Tests

   Covers the screening test addressed by the policy, including eligibility, frequency context, and who may order the test.