AAPC - Back to school
Results 1 to 2 of 2

Thread: G0102 Digital Rectal exam for Postrate Cancer Screnning

  1. #1
    Join Date
    Apr 2007

    Default G0102 Digital Rectal exam for Postrate Cancer Screnning

    AAPC: Back to School
    When I bill procedure code G0102 with diagnosis code V76.44 , I receive denial from medicare with reasons that "claim/service lacks informatiom which is needed for adjudicaation." Can someone please explain what I'm doing wrong.


  2. #2

    Default G0102

    I was looking into to this today and found the "Claims Processing Manual" on CMS website, this is what I found:

    50.3.1 - Correct Coding Requirements for Carrier Claims
    (Rev. 1, 10-01-03)
    Billing and payment for a Digital Rectal Exam (DRE) (G0102) is bundled into the payment for a covered E/M 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 noncovered service, HCPCS code G0102 would be payable separately if all other coverage requirements are met.

    *** If you look at this manual it tells you what the correct ICD is and any remit advice remarks that this code might generate "16" was not on eof them. Only that it is an annual test and pt must be over 50 to qualify. Sorry I could not be of more help.

Similar Threads

  1. Digital Rectal Exam
    By trvlingal in forum Gastroenterology
    Replies: 2
    Last Post: 03-19-2010, 11:20 AM
  2. Digital Rectal Exam
    By sgormsen in forum Internal Medicine
    Replies: 1
    Last Post: 11-19-2009, 02:18 PM
  3. Digital rectal exam
    By ACE in forum Family Practice
    Replies: 1
    Last Post: 09-17-2009, 06:42 PM
  4. digital rectal exam
    By heatherwinters in forum Family Practice
    Replies: 1
    Last Post: 10-15-2007, 01:09 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.