Coding > Coding

Coding for breast exam only

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djk:
I have been using the G0101 with V72.31 and V72.10 but Medicare doesnt like this any suggestions ??? ???

Merry:
There is no code for a breast exam only.  You can bill the appropriate E/M code for the visit.  For example.. Woman found mass on self exam.  Be sure to use correct dx.  Let us know please if this is not the correct scenario.

djk:
it is just part of there annual exam..

Michele:
G0101 is for a pelvic exam.  Isn't the breast exam part of the annual exam?  I've never seen it coded separately.

djk:
The G101 is for pelvic and breast exam according the code book, but when i bill the Dx V76.10 and V76.19 for breast screening I get denial for invalid DX.

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