G0103 HCPCS Level II Code: Prostate cancer screening; prostate specific antigen test (PSA)
Medicare Coverage & Payment
- CMS short descriptor: Psa screening
- Medicare coverage: Special coverage instructions apply (CMS coverage code D)
- Pricing indicator: 21
- BETOS: T1H — Lab tests - other (Non-Medicare fee schedule)
- Last CMS action effective: January 1, 2007
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Contextual Map
Every relationship of G0103 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- G0101 — Cervical or vaginal cancer screening; pelvic and clinical breast examination[Sibling]— CMS HCPCS Level II code set
- G0102 — Prostate cancer screening; digital rectal examination[Sibling]— CMS HCPCS Level II code set
- G0104 — Colorectal cancer screening; flexible sigmoidoscopy[Sibling]— CMS HCPCS Level II code set
- G0105 — Colorectal cancer screening; colonoscopy on individual at high risk[Sibling]— CMS HCPCS Level II code set
- G0106 — Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema[Sibling]— CMS HCPCS Level II code set
- G0108 — Diabetes outpatient self-management training services, individual, per 30 minutes[Sibling]— CMS HCPCS Level II code set
- G0109 — Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes[Sibling]— CMS HCPCS Level II code set
- G0117 — Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2000 — Added to the code set [Change history]— CMS release files (code change ledger)
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- January 1, 2000Added to the code setProstate cancer screening; prostate specific antigen test (psa)
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G0103 in its code family, with their registry titles.
- G0101 — Cervical or vaginal cancer screening; pelvic and clinical breast examination
- G0102 — Prostate cancer screening; digital rectal examination
- G0104 — Colorectal cancer screening; flexible sigmoidoscopy
- G0105 — Colorectal cancer screening; colonoscopy on individual at high risk
- G0106 — Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema
- G0108 — Diabetes outpatient self-management training services, individual, per 30 minutes
- G0109 — Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes
- G0117 — Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist
- G0118 — Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist
- G0120 — Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema.