Wiki Medicare GYN Exam- G0101

[NicoleSprecher]

Hello,

I was asked by one of our physicians to explain in more detail what is all included within a G0101- Breast and Pelvic Exam.
For starters, our physicians see quite a few Medicare patients for breast and pelvic exams and up to this point have been billing the G0101 only but also ordering mammograms, lab orders, and/or monitoring previous stable conditions.
I have tried doing quite a bit of research but unable to find an exact answer for this question through Medicare guidelines. Is anyone able to help with this?
Wondering- if it is okay to bill for E&M code in addition to G0101 when provider performs the above-mentioned services?

Thank you in advance!

 

[csperoni]

I answered in your original post: https://www.aapc.com/discuss/threads/medicare-gyn-exam-g0101.191134/
Someone else answered in your second post: https://www.aapc.com/discuss/threads/medicare-gyn-exam-g0101.191137/
For future reference, please post questions only once, it whatever forum you think is most appropriate. Posting duplicates creates issues like this where you wind up with 2 threads for the same question.