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When billing preventive gynecological visits for Medicare Advantage
members, providers must report the specific Healthcare Common Procedure Coding
System (HCPCS) codes that represent the annual gynecological examination for
new or established patients. Providers should discontinue using Annual Wellness
Examination procedure codes to report annual gynecological exams.
For the specific HCPCS codes, please review Attachment B within policy
#MA00.003c: Preventive Care Services on our Medical Policy
Portal. Select Accept and Go to Medical Policy Online, then select
the Medicare Advantage tab from the top of the page and type the policy
name or number in the Search field.
You can also get to our Medical Policy Portal through the
NaviNet® web portal by selecting the Reference Tools
transaction, then Medical Policy.
NaviNet is a registered trademark of NaviNet, Inc.
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