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.

References:

Payment Method for Screening Pelvic Examinations (Rev 440, 07-05-05). (2015, June 29). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/payment-method-for-screening-pelvic-examinations-rev-440-07-05-05-26965.html

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