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Thread: Dre exam?

  1. #1

    Default Dre exam?

    AAPC: Back to School
    Is there a cpt code ( not the hcpc code) for a routine digital rectal exam? As part of prostate screening?

    Any suggestions would be helpful!

    Thanks alot!

    Happy thursday:d

  2. #2


    I do not think there is a cpt code specifically for DRE, usually considered part of the E&M.
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

  3. #3
    Join Date
    Apr 2007

    Default Dre

    https://www.noridianmedicare.com/shared/partb/bulletins/2007/236_apr/Prostate_Cancer_Screening_Reminder_-_Medicare_Provides_Coverage_for_Eligible_Medicare_ Beneficiaries.htm

    "Billing and payment for a DRE (G0102) is bundled into the payment for a covered evaluation and management service (CPT codes 99201 99456 and 99499) when the two services are furnished to a patient on the same day. If the DRE is the only service or is provided as part of an otherwise non-covered service, HCPCS code G0102 would be payable separately if all other coverage requirements are met."

    Hope that helps
    Heather Winters, CPC, CFPC

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