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 visit that includes screening for cervical or vaginal cancer through a pelvic examination, combined with a clinical breast examination performed by a healthcare provider. During the pelvic exam, the doctor examines the reproductive organs to check for signs of cancer or other abnormalities. The clinical breast exam involves the healthcare provider physically examining the breasts and surrounding areas to feel for lumps or other changes that might indicate cancer.
Additional Information
This is a preventive screening service that combines two important cancer screening examinations in one visit. Coverage and frequency recommendations may vary based on age, risk factors, and insurance plans.
Category
Preventive Care/Cancer Screening
Medical Specialty
Gynecology/Primary Care
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 based on age and risk factors
- May require scheduling during certain times of menstrual cycle for optimal examination
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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