Friday, September 2, 2011

cpt G0101, 77052, 77057, G0202

Screening Pelvic Exam

CPT code G0101 – Cervical or vaginal cancer screening; pelvic and clinical breast examination

Report one of the following codes: V76.2, V76.47, V76.49, V15.89, V72.31

All female Medicare beneficiaries

Annually if at high-risk for developing cervical or vaginal cancer, or childbearing age with abnormal Pap test within past 3 years

Every 24 months for all other women

Prior to 01/01/11:
Copayment/coinsurance applies
Deductible waived
On or after 01/01/11:
Copayment/coinsurance waived
Deductible waived



Screening Mammography

CPT code 77052, 77057, G0202


covered DX - Report one of the following codes: V76.11 or V76.12


All female Medicare beneficiaries aged 35 and older


Aged 35 through 39: One baseline
Aged 40 and older: Annually


Prior to 01/01/11:
Copayment/coinsurance applies
Deductible waived
On or after 01/01/11:
Copayment/coinsurance waived
Deductible waived

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