Screening Pelvic Examinations (Rev. 1541, 09-23-08)

by  Jared Staheli
June 29th, 2015

Section 4102 of the BBA of 1997 (P.L. 105-33) amended §1861(nn) of the Act (42 USC 1395X(nn)) to include Medicare Part B coverage of screening pelvic examinations (including a clinical breast examination) for all female beneficiaries for services provided January 1, 1998 and later. Effective July 1, 2001, the Consolidated Appropriations Act of 2001 (P.L. 106-554) modifies §1861(nn) to provide Medicare Part B coverage for biennial screening pelvic examinations. A screening pelvic examination with or without specimen collection for smears and cultures, should include at least seven of the following eleven elements:

• Inspection and palpation of breasts for masses or lumps, tenderness, symmetry, or nipple discharge;

• Digital rectal examination including sphincter tone, presence of hemorrhoids, and rectal masses;

• External genitalia (for example, general appearance, hair distribution, or lesions);

• Urethral meatus (for example, size, location, lesions, or prolapse);

• Urethra (for example, masses, tenderness, or scarring);

• Bladder (for example, fullness, masses, or tenderness);

• Vagina (for example, general appearance, estrogen effect, discharge, lesions, pelvic support, cystocele, or rectocele);

• Cervix (for example, general appearance, lesions or discharge)

• Uterus (for example, size, contour, position, mobility, tenderness, consistency, descent, or support);

• Adnexa/parametria (for example, masses, tenderness, organomegaly, or nodularity); and


Screening Pelvic Examinations (Rev. 1541, 09-23-08). (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.