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S0613 - Ann breast exam

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Field Value
HCPCS Code: S0613
Long Description: Annual gynecological examination; clinical breast examination without pelvic evaluation
Short Description: Ann breast exam
Pricing Indicator 1: 00 (Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.))
Multiple Pricing 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))
Statute Number:
Coverage Code: I (Not payable by Medicare)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: Z2 (Undefined codes)
Type of Service Code 1: 9 (Other medical items or services)
Anesthesia Base Unit Quality: 0
Code Added: 01-07-2005
Action Effective Date: 01-07-2005
Action Code: N (No maintenance for this code)