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Wiki 99214 and g0101 billed together

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We have a lady who came in with breast nodule/breast pain...our provider did a breast exam on her. My question is can you bill a e/m and breast exam on this patient or is it considered with the e/m b/c of the diagnosis? My provider said it is considered in e/m but to me a breast exam had to be done to determine plan of treatment. Thoughts?
 
G0101 is not the code for a breast exam. There is not code just for a breast exam, except for S0613 which is usually not paid by any insurance except maybe BCBS. G0101 is for a pelvic exam which includes the breast exam, but also requires a detailed pelvic exam. If all he was doing was a breast exam for diagnostic purposes, he is correct, it is included in the E&M.
 
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