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Preventive Medicine: Screening Gynecological Examination

By:  Find-A-Codeā„¢
Published:  May 9th, 2018

Screening Gynecological Examination

Procedure Codes
G0101: Cervical or vaginal cancer screening; pelvic and clinical breast examination
S0610: Annual gynecological examination; clinical breast examination without pelvic evaluation
S0612: Annual gynecological examination, established patient
S0613: Annual gynecological examination, new patient

G0101:Low risk patients - Z01.411, Z01.419, Z12.4, Z12.72, Z12.89; High risk patients - Z77.9, Z92.84, Z92.89;
S0610-S0613: Z01.411, Z01.419, Z00.00, Z00.01

G0101: Low risk patients - Once every other year; High risk patients - Once annually;
S0610-S0613: Once annually

Additional Information

  • For women only
  • Includes a breast exam


  • Some payers may not pay these codes as they are thought to be included in the usual annual well woman visit. Consult your payer before using

Find-A-Code™ - Preventive Services - The information in this document does not guarantee payment or that included codes meet applicable qualifications as preventive services for all insurances and insurance plans, please consult your payer.



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