Table of content for "Psa screening" (HCPCS G0103)
General information on the “G0103” code
HCPCS Code: G0103
Long Description: Prostate cancer screening; prostate specific antigen test (psa)
Short Description: Psa screening
Original information is taken from G0103 page
Pricing indicators
Pricing Indicator Code 1: 21 – Price subject to national limitation amount. Clinical Lab Fee Schedule
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage Issues Manual Reference Section Number 1: 50-55
Lab Certification Code: 310
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Processing Note Number: 0064
Berenson-Eggers Type of Service (BETOS): T1H – Lab tests - other (non-Medicare fee schedule)
Type Of Service 1: 5 – Diagnostic laboratory
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20000101
Code Effective Date: 20070101
Action Code: N – No maintenance for this code