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Thread: G0101 with a patient who has had a double mastectomy

  1. #1

    Question G0101 with a patient who has had a double mastectomy

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    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 http://www.cms.hhs.gov/MLNMattersArt...ads/MM6085.pdf

    Hope this helps,
    Angela Jordan, CPC
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant


  3. #3


    Yes, thank you so much for you help!

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