AHA Coding Clinic® for HCPCS - 2008 Issue 3; FOR your INFORMATION

Reporting screening pelvic examinations

CMS recently provided clarification regarding the appropriate reporting of screening pelvic examinations. To report a screening pelvic exam with or without specimen collection for smears and cultures, which is reported using HCPCS code G0101, Cervical or vaginal cancer screening; pelvic and clinical breast examination, seven of the following eleven components should be performed: Inspection and palpitation of breasts for masses or lumps, tenderness, symmetry, or nipple discharge; Digital rectal examination including sphincter tone, presence of hemorrhoids, and rectal masses; and inspection of the following: External genitalia Urethral meatus Urethra Bladder Vagina Cervix Uterus Adnexa/parametria and Anus and...

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