Wiki g0102

G0102 is covered by Medicare once per year for male patients over 50 years old. The AWV does not have any exam components, so there is no overlap between these and there are no CCI edits between the two codes, so no modifiers should be necessary.
 
does medicare pay for a digital prostate exam during the AWV? getting mixed info
Here is a link to specifics regarding Medicare and G0102/03/01. As Thomas mentioned, it is covered for males over 50 annually.
Mcare says G0102 is bundled with the separate E/M. If you are billing the AWV, prostate exam, and separate E/M visit, the prostate exam is included in the E/M. If you are billing the AWV and prostate exam only, both should be paid. I have had both paid on the same date when billed as G0438/G0439 and G0102 only. If bundled, you cannot bill the patient, due to inclusivity.
 
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