HCPCS code G0102: Prostate screening, digital rectal examination2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $23.98 for G0102 in the office and $7.56 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · G0102 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What G0102 covers

G0102 represents a screening examination in which a clinician inserts a gloved, lubricated finger into the rectum to assess the prostate by palpation. Primary care clinicians and urologists commonly perform it during an outpatient visit. The exam can assess features such as prostate size, contour, and palpable irregularities; the code identifies the screening service, not a laboratory test or evaluation of urinary symptoms.

Select G0102 when the documented purpose is prostate cancer screening and the digital examination was performed. The note should establish screening intent and record the examination and relevant findings. Do not use this code for a PSA blood test; G0103 identifies screening PSA testing. CMS physician fee schedule values for G0102 include work and practice expense, with practice expense values that differ by setting.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Virginia compares for G0102

Across 109 of 109 payment localities, the office rate for G0102 runs from $21.68 in Arkansas to $32.86 in San Benito County, CA. Virginia pays $23.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

G0102 rates by state

Office rate range in each state. Select a state to see its payment localities.

See G0102 in every payment locality

How the G0102 rate is calculated

Each of G0102’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for G0102

G0102 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to G0102

Related codes aren’t interchangeable: bill the code that matches the service performed.

How G0102 has changed in Virginia

Price G0102 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates