Monday, September 5, 2011

CPT code - G0102 - Bone Mass Measurements CPT

Bone Mass Measurements CPT codes

76977, 77078, 77079, 77080, 77081,
77083, G0130

Use the appropriate diagnosis code Contact the local Medicare Contractor for guidance
Certain Medicare beneficiaries that fall into at least one of the following categories:

Women determined by their physician or qualified non-physician practitioner to be estrogen deficient and at clinical risk for osteoporosis;

Individuals with vertebral abnormalities;
Individuals receiving (or expecting to receive)

glucocorticoid therapy for more than three months;

Individuals with primary hyperparathyroidism; or
Individuals being monitored to assess response to FDA-approved osteoporosis drug therapy.

Every 24 months
More frequently if medically necessary

Prior to 01/01/11:
Copayment/coinsurance applies
Deductible applies

On or after 01/01/11:
Copayment/coinsurance waived
Deductible waived

Prostate Cancer Screening 

CPT code  G0102 – Digital Rectal Exam (DRE) G0103 – Prostate Specific Antigen
Test (PSA)

Covered DX - V76.44

All male Medicare beneficiaries aged 50 and older (coverage begins the day after 50th birthday)


Payment for CPT G0102:

Copayment/coinsurance applies
Deductible applies
Copayment/coinsurance waived
Deductible waived

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