G0102 - Prostate cancer screening

cmercado0526

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Lebanon, NH
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Good morning - I keep reading that G0102 is supposed to be covered for Medicare beneficiaries, but I have never been able to get it paid. How exactly does it have to be billed? Thanks!
 

trixiebh

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We use G0103 for Medicare Prostate screening with V76.44. If results are elevated, we use 84153 with 790.93. G0103 does get paid.
 

cmercado0526

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Lebanon, NH
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I'm talking about the digital rectal exam, G0102, that is supposed to be one of the very few 'preventive' measures Medicare covers.
 
Messages
214
Location
Virginia
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We have found that G0102 is usually bundled into the E/M code and is not reimbursed separately, even if you use modifier 25 on the E/M.

I hope this helps.
 
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