Updated Information: In early August, CMS clarified the G0101 & G0102 as a standalone RHC billable service. More information may be found on the CMS website by clicking here.
Background Information: Since 2011, Medicare has been covering certain preventive services. In most instances the co-pay and deductible are waived as long as the patients and providers adhere to the frequency scheduled established for that particular preventive service. This expansion occurred as a result of changes mandated by enactment of the Affordable Care Act.
Services such as Cervical or Vaginal Cancer screening; pelvic and breast examinations; and, screening pap smears have been covered as "stand-alone" services and billable as RHC visits in accordance with CMS published policy (see links below).