HCPCS G0102: Prostate screeningMedicare rate & RVUs
Report G0102 for a prostate cancer screening digital rectal examination, in which a clinician palpates the prostate through the rectum.
Medicare pays $24.38 for G0102 nationally in the office and $7.68 in a hospital or facility. Local office rates run $21.68–$32.86.
Medicare rate · G0102
Prostate screening
Swap in your local Medicare rate.
- Work RVUs
- 0.18
- Total RVUs
- 0.73
- Global days
- XXX
National rate · 2026
$24.38
Office setting, before claim adjustments.
See every locality for G0102 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
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.
Where G0102 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$21.68 to $32.86
109 of 109 payment localities
G0102 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$21.68
$29.46
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $28.41 | 1 |
| AL | $21.98 | 1 |
| AR | $21.68 | 1 |
| AZ | $23.78 | 1 |
| CA | $26.06–$32.86 | 29 |
| CO | $25.54 | 1 |
| CT | $25.96 | 1 |
| DC | $27.96 | 1 |
| DE | $24.16 | 1 |
| FL | $23.76–$25.63 | 3 |
| GA | $22.50–$24.76 | 2 |
| GU | $26.71 | 1 |
| HI | $26.71 | 1 |
| IA | $22.65 | 1 |
| ID | $22.76 | 1 |
| IL | $23.00–$25.17 | 4 |
| IN | $22.89 | 1 |
| KS | $22.49 | 1 |
| KY | $22.35 | 1 |
| LA | $22.29–$23.36 | 2 |
| MA | $25.37–$28.09 | 2 |
| MD | $24.63–$27.96 | 3 |
| ME | $22.81–$24.10 | 2 |
| MI | $22.86–$23.98 | 2 |
| MN | $24.67 | 1 |
| MO | $21.88–$23.52 | 3 |
| MS | $21.79 | 1 |
| MT | $24.38 | 1 |
| NC | $23.05 | 1 |
| ND | $24.18 | 1 |
| NE | $22.79 | 1 |
| NH | $25.08 | 1 |
| NJ | $26.31–$27.67 | 2 |
| NM | $22.95 | 1 |
| NV | $24.34 | 1 |
| NY | $23.38–$28.46 | 5 |
| OH | $22.82 | 1 |
| OK | $22.38 | 1 |
| OR | $24.21–$26.40 | 2 |
| PA | $22.89–$25.29 | 2 |
| PR | $24.58 | 1 |
| RI | $25.06 | 1 |
| SC | $22.96 | 1 |
| SD | $24.16 | 1 |
| TN | $22.59 | 1 |
| TX | $22.74–$25.40 | 8 |
| UT | $23.27 | 1 |
| VA | $23.98–$27.96 | 2 |
| VI | $24.58 | 1 |
| VT | $24.04 | 1 |
| WA | $25.34–$28.72 | 2 |
| WI | $23.39 | 1 |
| WV | $22.16 | 1 |
| WY | $24.30 | 1 |
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.
How the rate is built · G0102
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.18Practice expense 0.54Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
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.
Place of service · G0102
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$24.38
The facility rate would be $7.68 (+$16.70). In a facility, the facility bills its own costs separately.
G0102 compared with similar codes
Compare codes
G0102 vs G0103 vs 84153 vs 99213: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0103Psa screening
- G0103 is for screening PSA testing; G0102 is for the screening digital rectal examination.
- 84153Assay of psa total
- Use 84153 for PSA testing in a diagnostic context; G0103 identifies screening PSA testing, while G0102 identifies the screening examination.
- 99213Office visit
- 99213 represents an office E/M service, not the prostate screening examination itself. G0102 identifies the digital screening examination.
G0102 billing questions
When should G0102 be used instead of G0103?
G0102 identifies the digital rectal examination; G0103 identifies a screening prostate-specific antigen blood test. Report the service actually performed and documented.
Does G0102 include the PSA blood test?
No. G0102 is for the screening digital examination, not blood collection or PSA analysis.
What documentation supports G0102?
Document that the examination was performed for screening, describe the digital prostate examination, and record relevant findings.
Can G0102 be reported with G0103?
The codes identify different screening services: a digital examination and a PSA test. Report both only when both services were performed and documented.
Is G0102 selected by examination time or number of areas examined?
No time or area-count level is identified for this code. It represents the screening digital examination of the prostate.
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
Show the CMS file lines behind this rate
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