G0101 - Cancer screening exam including pelvic exam and clinical breast exam
Healthcare Common Procedure Coding System
What is a HCPCS Code?
HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical procedures, supplies, and services for billing purposes. These codes help standardize how healthcare services are reported and billed across different providers and insurance companies.
Detailed Description
This code represents a preventive care service that combines screening for cervical or vaginal cancer (through a pelvic examination) with a clinical breast examination performed by a healthcare provider. This is a comprehensive women's health screening service that checks for signs of cancer in the reproductive organs and breasts. The pelvic exam may include visual inspection and manual examination of the cervix, vagina, and surrounding areas, while the clinical breast exam involves the healthcare provider checking the breasts and surrounding areas for any abnormalities.
Additional Information
This is a preventive screening service that combines multiple cancer screening examinations in one visit. Coverage and frequency may vary by insurance plan and patient age/risk factors.
Category
Preventive Care/Cancer Screening
Medical Specialty
Gynecology/Women's Health
Expected Costs
Your actual cost will depend on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- Typically recommended for women of appropriate screening age
- May require scheduling appointment in advance
What to Expect After
- Results discussion with healthcare provider
- Additional testing if abnormalities are found
- Regular screening schedule as recommended by provider
Why Understanding This Code Matters
On Your Medical Bill
This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.
For Your Health
Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.
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