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Pelvic & Breast Exam

  1. Default Pelvic & Breast Exam
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    When internal medicine doctor did Pelvic & Breast exam, we used code G0101 in medicare. But it was denied.

    Please let me know other code for using.

  2. #2
    Why was it denied? If the denial was for medical necessity, then you need to look at the dx code. Frequency is also a factor - MCR covers this code once every 24 months for healthy patients and once every 12 months for high-risk patients.

    Becky, CPC

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