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Thread: breast exam

  1. #1

    Default breast exam

    AAPC: Back to School
    Hello, is there a CPT for just a breast exam? I don't think I code this as a well woman exam (G0101) because the patient refused a pap. Also, what dx code do I use for a breast exam? The patient doesn't have a family hx of breast cancer. This was just for a check up.

  2. #2
    Join Date
    Apr 2007
    Kansas City, MO


    There is not a code for just a breast exam. If it was done as part of a preventative service (9939x) it's inclusive. If it was a Medicare patient it is not billable (alone) as a routine service.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

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