G0101
Ca screen;pelvic/breast exam
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
PrimaryG0101Ca screen;pelvic/breast exam
1
$39.75
$24.72
Whole procedure · 0.44 wRVU credited
$39.75
$24.72
RVU Breakdown
Component
Office
Facility
Work
0.44
0.44
Practice expense
0.68
0.23
Malpractice
0.07
0.07
Total RVU
1.19
0.74
Payment Policy & Modifiers
Allowed adjustments
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Bilateral -50Multiple procedure Co-surgeon -62Team surgeon -66Prof / tech split