Prostate Cancer Screening

HCPCS/CPT Codes

  • G0102 - Digital Rectal Exam (DRE)
  • G0103 - Prostate Specific Antigen (PSA) test

Frequency

Annually

Diagnosis Code

Z12.5 - Encounter for screening for malignant neoplasm of prostate

Coverage

Male beneficiaries aged 50 and older

  • Coverage begins day after 50th birthday
  • G0102 bundled into covered evaluation and management service when furnished on same day

Payment

  • G0102 - Copayment/coinsurance applies; Deductible applies
  • G0103 - Copayment/coinsurance waived; Deductible waived

Noridian Medicare Portal

Yes - G0103

Resources

Last Updated $dateUtil.getDate( $modifieddate , "MMM dd , yyyy" , $locale , $tzone )