Transrectal Ultrasound
J6 · Effective Oct 1, 2015
4 active Medicare policies list R97.21, and 4 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J6 · Effective Apr 1, 2026
National · Effective Oct 1, 2026
4 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of R97.21 |
|---|---|---|
| Positron Emission Tomography (PET) | Sep 21, 2023 | Covered |
| Prostate Cancer Screening | Jul 14, 2023 | Covered |
| Policy | Effective | Status of R97.21 |
|---|---|---|
| Prostate Specific Antigen Testing | Apr 15, 2026 | Covered |
| Transrectal Ultrasonography | Apr 15, 2026 | Covered |