S0612 Annual gynecological examina
Also known as: annual gyn exam, pelvic exam
Annual gynecological examination without cytology. Yearly pelvic examination without Pap test or cervical sampling.
In Plain Language
annual women's exam without pap; gynecology checkup
Clinical Context
Preventive screening when cervical cytology not performed, such as post-hysterectomy or when Pap adequate from prior year. Includes pelvic and breast examination.
RVU Information
CPT S0612 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.
Specialties
Frequently Asked Questions
What is CPT code S0612?
CPT S0612 (Annual gynecological examina) is a S Codes code. Annual gynecological examination without cytology. Yearly pelvic examination without Pap test or cervical sampling.
Is S0612 covered by insurance?
S0612 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Preventive screening when cervical cytology not performed, such as post-hysterectomy or when Pap adequate from prior year. Includes pelvic and breast examination.
When is CPT S0612 used?
Preventive screening when cervical cytology not performed, such as post-hysterectomy or when Pap adequate from prior year. Includes pelvic and breast examination.
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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.