Payment Method for Screening Pelvic Examinations (Rev 440, 07-05-05)

by  Jared Staheli
June 29th, 2015

Pelvic examinations are paid under the MPFS, whether billed to the FI or carrier except:

• Hospital outpatient services are paid under OPPS;

• See §40.5.B of this chapter for proper billing by RHC/FQHCs for the professional and technical components of a screening pelvic examination. RHCs/FQHCs are paid under the all-inclusive rate for the professional component; or based on the provider’s payment method for the technical component;

• CAH payment is under reasonable cost.

NOTE: SNFs are paid under the MPFS and bill the FI. Physicians and other individual practitioners bill the carrier.


Payment Method for Screening Pelvic Examinations (Rev 440, 07-05-05). (2015, June 29). Find-A-Code Articles. Retrieved from

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)

Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
free demo
request yours today
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.