Back to NCD List
National Coverage Determination
Prostate Cancer Screening Tests
CMS Policy Number: 210.1
See also: Medicare Preventive Services
Frequency Limitations: Screening prostate specific antigen tests (PSA) are covered at a frequency of once every 12 months for men who have attained age 50. The test must be ordered by a beneficiary's attending physician, physician assistant, nurse practitioner, or clinical nurse specialist who is fully knowledgeable about the beneficiary's medical condition, and who would be responsible for using the results of the test in the overall management of the beneficiary's specific medical problem.
To review all requirements of this policy, please see:
CMS NCD listing by Chapter
Covered ICD-10 Codes.
.... and many more.
|Z12.5||Encounter for screening for malignant neoplasm of prostate|
Sorry, you need to login or register to view additional sections of this Medicare policy.
Click here for publications catalog.
The content and format of the following files and/or webpages are
copywritten and the property of Wheaton Partners, LLC - dba CodeMap®. All
recipients of these files agree not to distribute, reproduce and/or use the
information contained within, in any manner not expressly agreed upon by the
user and Wheaton Partners, LLC - dba CodeMap®.
All code-pairs and Medicare coverage information are compiled directly from Center for Medicare and
Medicaid Services (CMS) and Medicare Contractor coverage policies. CodeMap®
has made every reasonable effort to ensure the accuracy of the information
contained. However, the ultimate responsibility for correct
coding and claims submission lies with the provider of services. Both CMS and
Medicare contractor coverage policy information may change at any time.
CodeMap® makes no representation, warranty, or guarantee that this compilation
of coverage policy information is error-free or that the use of this information
will result in Medicare coverage and subsequent payment of claims. Final
coverage and payment of claims are subject to many factors exclusively
controlled by CMS and its contractors.