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G0101 with a patient who has had a double mastectomy

  1. #1
    Question G0101 with a patient who has had a double mastectomy
    Medical Coding Books
    HELP, we have a patient who came into our office for a preventative, as well as a pelvic exam. The pelvic exam was done, however the patient has had a double mastectomy, so of course the breast exam was not done. How can we or can we even code for the pelvic exam??

  2. #2
    Kansas City, MO
    The breast exam is no longer considered a required element of the G0101. CMS Transmittal 1541 was issued to clarify language that a breast exam is not a required element. Here is the link to the MLM article

    Hope this helps,
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013

  3. #3
    Yes, thank you so much for you help!

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