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Gynecologic or Annual Women’s Exam Visit & Use …

Manual: Reimbursement Policy Policy Title: Gynecologic or Annual women s Exam Visit & Use of Q0091 (Pap, Pelvic, & Breast Visit ) Section: Evaluation & Management Services Subsection: None Date of Origin: 5/23/2007 Policy Number: RPM044 Last Updated: 12/4/2020 Last Reviewed: 12/9/2020 Scope This policy applies to all Commercial medical plans and Medicare Advantage plans. It does not address moda s Oregon Medicaid/EOCCO plans. Reimbursement Guidelines coding for the Annual women s exam differs for a Medicare Advantage plan versus a moda health Commercial health plan. A. For moda health Medicare Advantage plans: 1. The provider performing the Pap/pelvic/breast exam Visit : a. May submit the following procedure codes.

Coding for the annual women’s exam differs for a Medicare Advantage plan versus a Moda Health Commercial health plan. A. For Moda Health Medicare Advantage plans: ... Gynecologic or Annual Women’s Exam …

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