G0101 HCPCS Code: Medicare Pelvic & Breast Exam Guidelines

Last Updated: May 23, 2026

Medical Coding Assistant

Select a tool below to quickly look up rules or auto-code clinical notes.

Medicare covers screening pelvic and clinical breast exams using G0101, but the frequency limits depend entirely on the patient's risk factors.

TL;DR Quick Answer

Short on time? Don't want to read the whole guide? Ask our AI your specific billing question and get an instant answer.

Frequency: High Risk vs Low Risk

If the patient is considered "low risk," Medicare covers G0101 once every 24 months. If the patient is considered "high risk" (e.g., history of cervical cancer, early onset of sexual activity), Medicare covers it once every 12 months.

Compare CPT Codes

Confused between with vs. without contrast? Look up the official code descriptions.

Medical Necessity: The 7 Elements

To bill G0101, the exam must include at least 7 of the following 11 elements: Inspection/palpation of breasts, digital rectal exam, pelvic exam (external genitalia, urethral meatus, urethra, bladder, vagina, cervix, uterus, adnexa/parametria, anus/perineum). Diagnosis code Z01.419 is commonly used.

Verify Medical Necessity

Don't risk a denial. See if your ICD-10 code is on the approved Medicare LCD list.

NCCI Edits and Q0091

G0101 is almost always billed alongside Q0091 (Obtaining screen pap smear). They are separate services and do not bundle into each other.

Check NCCI Edits Instantly

Not sure if these codes bundle? Check the latest Medicare NCCI database updates before you bill.

Tired of dealing with rejected claims?

Use our modern CMS-1500 software to instantly validate NPIs, CPT codes, and ICD-10 formatting. It's completely free to start.

Create Your Free Account

Related Articles