However, since the pelvic and breast exam and the Pap smear overlap with some of the preventive service components, the amount allowed by Medicare for those services should be deducted from the amount billed to the patient for the noncovered preventive service. Additionally, a pelvic and breast exam (G0101) and Pap smear (Q0091) are covered when provided at appropriate intervals - once every two years for patients with average risk of developing cervical or vaginal cancer and annually for patients with high risk. If a patient requests a routine health exam rather than a “Welcome to Medicare” visit (G0402) or an annual wellness visit (AWV) (G0438 - G0439), report a preventive medicine code (99381 - 99397) with modifier GY to indicate that the service is not covered by Medicare. Health Equity, Diversity, & Social Determinants of Health.
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