Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.3.1

Correct Coding Requirements for A/B MAC (B) Claims

Last amended: 2003Year: 2003Length: 85 wordsOfficial source
50.3.1 - Correct Coding Requirements for A/B MAC (B) Claims (Rev. 1, 10-01-03) B3-4182.6 Billing and payment for a Digital Rectal Exam (DRE) (G0102) is bundled into the payment for a covered E/M service (CPT codes 99201 - 99456 and 99499) when the two services are furnished to a patient on the same day. If the DRE is the only service or is provided as part of an otherwise noncovered service, HCPCS code G0102 would be payable separately if all other coverage requirements are met.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.3.1: Correct Coding Requirements for A/B MAC (B) Claims | Justis AI