HCPCS code G0103: Prostate Cancer Screening; Prostate Specific Antigen Test (PSA)

Medicare covers one PSA screening test every 12 months for eligible male beneficiaries aged 50 and older.

No. G0103 is for screening only, while 84153 is for diagnostic testing. If screening intent is documented, use G0103 exclusively.

It is always best to check with the specific payer's guidelines. However, G0103 generally does not require a special modifier when billed as a screening service.