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HCPCS Code for Annual gynecological examination; clinical breast examination without pelvic evaluation S0613

HCPCS code S0613 for Annual gynecological examination; clinical breast examination without pelvic evaluation as maintained by CMS falls under Screenings and Examinations .

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Official Long Descriptor

Annual gynecological examination; clinical breast examination without pelvic evaluation

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S CODES
Hello All I hate to say it out loud but is anyone using the S0610, S0613, S0612 codes for commercial plans?? Back story: I had a patient come in for her breast and pelvic exam, in which I coded ou... [ Read More ]
Cpt codes for GYN visits
I work in a Medical office and we do gyn visits. I know the ICD 10 codes to use, but I am not sure about the cpt codes. Also, are the supplies included in the office visit charge, or can we bill tho... [ Read More ]
Breast Exams in Office
I'm not sure what the 'standard' E/M code is, but outpatient E/M codes 99201-99215 would not be compatible with a screening because you need a chief complaint and a problem that is being managed - scr... [ Read More ]
CPT for PAP done by PCP
Check out the HCPC S0610-S0613, gyne codes. These codes were recommended to me by an Auditor. Some carriers pay $40 some pay $120. The Prevent codes 9938x-9939x should be for internal med utilizing... [ Read More ]
Well Women Exams & S Codes S0610, S0612 & S0613
Calling on my BOD Sistas, Do any of you have experience with utilizing the S codes for well women exams. I would love to chat if you do:) S0610-Annual gynecological exam-new pt. S0612-Annual gyne... [ Read More ]
Non-Medicare GYN Exam codes?
this was taken directly out of a BCBS coding for healthcare reform page. Maybe this can help Well Woman Preventative  Females only beginning at age 10 Effective 8/1/12 CPT codes 99393-99397, G043... [ Read More ]
GYN experts-- HELP!
Thank you all for your input... We've determined that we are going to bill S0613 for what our OB/GYN group is calling a well woman w/o pelvic and submitting the documentation. I've reached out to ou... [ Read More ]
Woman's physical vs. Well Woman Exam - We have an Internal med doctor
[QUOTE="btadlock1, post: 140145, member: 83952"]That's freaky! Mine was almost the [I]exact [/I]same situation, except they had billed a problem E/M with a V70.0, and were trying to get a pap paid sep... [ Read More ]
GYN experts-- HELP!
Thanks Barbara and Erin- When I look at our Local Blue Shields medical policy it's not clearly stated as to what they are looking for with the S0613, they only say they pay for it as part of preventi... [ Read More ]
GYN experts-- HELP!
S0613 is for a breast exam without pelvic for BCBS. G0101 is the pelvic exam that requires 7 of 11 elements and is typically for MCR though I know some other insurances accept either or both. For S061... [ Read More ]
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