tci Part B Insider - 2008 Issue 31

Physician Notes: HCPCS Code G0101 No Longer Includes Mandatory Breast Check

Plus: CMS reports high MAC satisfaction rate, and Medicare creates new hurdles for handling your questionsIf you've been performing a breast check with every screening pelvic exam, note that Medicare has changed its tune.CMS recently released transmittal 1541, which notes that practitioners are unclear regarding which elements are required to bill G0101 (Cervical or vaginal cancer screening; pelvic and clinical breast examination).To clarify the issue, CMS indicates that practitioners must perform seven of the 11 possible elements, one of which is a breast exam.To read the full transmittal, visit http://www.cms.hhs.gov/Transmittals/downloads/R1541CP.pdf.In other...

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