HCPCS code G0102 — Prostate ca screening; dre.
Status: Active.
Effective Jan 1, 2000.
Source: CMS HCPCS Level II.
G0102
ActiveProstate ca screening; dre
Prostate cancer screening; digital rectal examination
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2000
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of G0102 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
G0102 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0181 | Modifier may bypass edit |
| G0182 | Modifier may bypass edit |
| G0337 | Modifier cannot bypass edit |
| G0380 | Modifier may bypass edit |
| G0381 | Modifier may bypass edit |
| G0382 | Modifier may bypass edit |
| G0383 | Modifier may bypass edit |
| G0384 | Modifier may bypass edit |
| G0463 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)