Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 50.5
Diagnosis Coding
50.5 - Diagnosis Coding
(Rev. 11021; Issued: 10-01-21; Effective: 10-29-21; Implementation: 10-29-21)
Prostate cancer screening digital rectal examinations and screening Prostate Specific Antigen
(PSA) blood tests must be billed using either screening code if ICD-10-CM is applicable,
diagnosis code Z12.5 (Encounter for screening for malignant neoplasm of prostate).