CMS states that a breast exam is no longer required in order to report G0101, however you still must perform at least 7 of the required 11 elements below in order to report G0101:
â€¢ Inspection and palpation of breasts for masses or lumps, tenderness, symmetry or nipple discharge
â€¢ Digital rectal examination including sphincter tone, presence of hemorrhoids, and rectal masses
â€¢ External genitalia (for example, general appearance, hair distribution or lesions)
â€¢ Urethral meatus (such as size, location, lesions, or prolapse)
â€¢ Urethra (for instance, masses, tenderness or scarring)
â€¢ Bladder (for example, fullness, masses or tenderness)
â€¢ Vagina (e.g., general appearance, estrogen effect, discharge, lesions, pelvic support, cystocele or rectocele)
â€¢ Cervix (for example, general appearance, lesions or discharge)
â€¢ Uterus (such as size, contour, position, mobility, tenderness, consistency, descent or support)
â€¢ Adnexa/parametria (for instance, masses, tenderness, organomegaly or nodularity)
â€¢ Anus and perineum.
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