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Wiki MCR Q0091 and G0123

Thread starter sharonhittle
Start date Nov 7, 2013

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sharonhittle

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Nov 7, 2013

I am new to GYN coding and I am a bit confused about the carve out of the medicare GYN visits. I understand that you can carve out the G0101 pelvic and breast exam with the pap smear taken. Which code is a better code to use G0123 (equivalent to 88142) or the Q0091. The payment is quite a bit different. I think we might not be getting the reimbursement necessary if we should be using the Q0091. Can someone explain the difference in the Q0091 and G0123 codes?

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