G0101 and Preventative Billing

19/08/2025 13 min

Listen "G0101 and Preventative Billing"

Episode Synopsis


Medicare has designated two HCPCS codes for women’s screening services:

G0101 – Screening pelvic and clinical breast exam
Q0091 – Collection of a screening Pap smear

These codes are reimbursable every two years, but they’re not considered comprehensive preventive medicine services. In this episode, Terry breaks down how these screenings fit into the broader billing landscape — including whether they can be reported on the same date as:

Preventive care codes
Annual Wellness Visits (AWVs)
Evaluation and Management (E/M) services

If you’ve ever wondered how to navigate these overlapping services without triggering denials or confusion, this one’s for you. Tune in for practical tips and coding clarity.

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