G0103 - Blood test to screen for prostate cancer using PSA (prostate-specific antigen)
Healthcare Common Procedure Coding System
What is a HCPCS Code?
HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical procedures, supplies, and services for billing purposes. These codes help standardize how healthcare services are reported and billed across different providers and insurance companies.
Detailed Description
This is a screening test that measures the level of prostate-specific antigen (PSA) in your blood. PSA is a protein produced by the prostate gland, and elevated levels may indicate the presence of prostate cancer. This test is used as a screening tool to help detect prostate cancer early, before symptoms appear. The test involves a simple blood draw and is typically recommended for men at certain ages or with risk factors for prostate cancer.
Additional Information
This is a screening test, not a diagnostic test. Elevated PSA levels don't necessarily mean cancer is present, as PSA can be elevated due to other conditions like enlarged prostate or infection. Coverage may vary by insurance plan and patient age/risk factors.
Category
Preventive/Screening Services
Medical Specialty
Urology/Primary Care
Expected Costs
We expect this to normally be in the range of:
$50 - $200
This is an estimate based on typical billing patterns. Your actual cost may vary depending on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- Typically for men age 50+ or younger with risk factors
- Discussion with healthcare provider about benefits and risks
What to Expect After
- Results review with healthcare provider
- May require additional testing if PSA levels are elevated
- Regular screening schedule as recommended by physician
Why Understanding This Code Matters
On Your Medical Bill
This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.
For Your Health
Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.
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