G0101 Ca screen;pelvic/breast examination
Also known as: women's cancer screening, pelvic and breast exam
Cancer screening examination including pelvic and breast examination for cervical, uterine, and breast cancer detection in eligible beneficiaries.
In Plain Language
Breast and pelvic exam for cancer; Women's preventive cancer screening
Clinical Context
Preventive care screening for women to detect breast and gynecological cancers. Includes clinical breast exam, pelvic examination, and patient education on screening importance.
RVU Breakdown
| Work RVU | 0.44 |
| Total RVU | 0.44 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
With a work RVU of 0.44, this code ranks in the 23rd percentile among G Codes codes — 2.2x below the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0101?
CPT G0101 (Ca screen;pelvic/breast examination) is a G Codes code. Cancer screening examination including pelvic and breast examination for cervical, uterine, and breast cancer detection in eligible beneficiaries.
Who uses CPT code G0101?
CPT G0101 is used by Gynecology, Preventive Medicine, Primary Care. Preventive care screening for women to detect breast and gynecological cancers. Includes clinical breast exam, pelvic examination, and patient education on screening importance.
When is CPT G0101 used?
Preventive care screening for women to detect breast and gynecological cancers. Includes clinical breast exam, pelvic examination, and patient education on screening importance.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.