CPT code – G0102 – Bone Mass Measurements CPT

by | Sep 5, 2011 | CPT modifiers

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)


Annually


Payment for CPT G0102:


• Copayment/coinsurance applies
• Deductible applies
G0103:
• Copayment/coinsurance waived
• Deductible waived