G0103 HCPCS - PROSTATE CANCER SCREENING; PROSTATE SPECIFIC ANTIGEN TEST (PSA)

Code Information

  • HCPCS Code: G0103
  • Sequence Number: 0010
  • Short Description: Psa screening
  • Long Description: Prostate cancer screening; prostate specific antigen test (psa)
  • Date Added: 1/1/2000
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2007
  • Classification: Temporary Procedures & Professional Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: T1H - Lab tests - other (non-Medicare fee schedule)
  • Type Of Service Code:
    • 5 - Diagnostic laboratory

Billing Information

  • Pricing Indicator Code:
    • 21 - Price subject to national limitation amount
  • Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
  • Coverage Issues Manual Reference Section Number:
    • 50-55
  • Medicare Carriers Manual Reference Section Number:
    • 4182
  • Coverage Code: D - Special coverage instructions apply

HCPCS Record

Field Name Field Value
Healthcare Common Procedure Coding System Code G0103
HCPCS Sequence Number 0010
HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description Prostate cancer screening; prostate specific antigen test (psa)
HCPCS Short Description Psa screening
HCPCS Pricing Indicator Code 1 21 - Price subject to national limitation amount
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number 1 50-55
HCPCS Medicare Carriers Manual Reference Section Number 1 4182
HCPCS Lab Certification Code 1 310 - Routine chemistry
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Processing Note Number 0064
HCPCS Berenson-Eggers Type Of Service Code T1H - Lab tests - other (non-Medicare fee schedule)
HCPCS Type Of Service Code 1 5 - Diagnostic laboratory
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Code Added Date 1/1/2000
HCPCS Action Effective Date 1/1/2007
HCPCS Action Code N - No maintenance for this code

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This page was last updated on: 7/1/2024