S0613 HCPCS - ANNUAL GYNECOLOGICAL EXAMINATION; CLINICAL BREAST EXAMINATION WITHOUT PELVIC EVALUATION

Code Information

HCPCS Code: S0613

Sequence Number: 0010

Short Description: Ann breast exam

Long Description: Annual gynecological examination; clinical breast examination without pelvic evaluation

Code Added Date: 7/1/2005

Action Code: N - No maintenance for this code

Action Effective Date: 7/1/2005

Classification: Private Payer Codes

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: Z2 - Undefined codes
Type Of Service Code:
  • 9 - Other medical items or services

Billing Information

Pricing Indicator Code:
  • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: I - Not payable by Medicare

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code S0613
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Annual gynecological examination; clinical breast examination without pelvic evaluation
      HCPCS Short Description Ann breast exam
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Coverage Code I - Not payable by Medicare
      HCPCS Berenson-Eggers Type Of Service Code Z2 - Undefined codes
      HCPCS Type Of Service Code 1 9 - Other medical items or services
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 7/1/2005
      HCPCS Action Effective Date 7/1/2005
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 1/1/2018