Preventive Medicine: Screening Gynecological Examination

by  Find-A-Code™
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.


Preventive Medicine: Screening Gynecological Examination. (2018, May 9). Find-A-Code Articles. Retrieved from

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