G0103 – Prostate cancer screening; prostate specific antigen test (psa)

HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)

Active code Special coverage instructions apply

HCPCS codeG0103
Long description
Prostate cancer screening; prostate specific antigen test (psa)
Short description
Psa screening
Pricing indicator
21 Clinical Lab Fee Schedule – national limitation amount
Medicare coverage
D Special coverage instructions apply
BETOS category
T1H Lab tests - other (Non-Medicare fee schedule)
Added
January 1, 2000
Last change
January 1, 2007 – No change

Frequently asked questions

What is HCPCS code G0103?

G0103 is a HCPCS Level II code for prostate cancer screening; prostate specific antigen test (psa).

Does Medicare cover G0103?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby G codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.