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LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2020 (April)
2019

Physician Fee Schedule

2020
2019

OPPS Fee Schedule

2020-April
2020-January

ASC Fee Schedule

2020-April
2020-January

APC Codes

2020-April
2020-January

DRG Codes

2020
2019

ASP Drug Pricing Files

April 2020
January 2020


CMS Transmittals




Webinar: 2020 Regulatory Update: Hospital Outreach Programs Wednesday, June 17, 2020

National Coverage Determination
Procedure Code: G0145
Screening Pap Smears and Pelvic Examinations for Early Detection of Cervical or Vaginal Cancer
CMS Policy Number: 210.2

See also: Medicare Preventive Services

Back to NCD List

Frequency Limitations:

Every 2 years for all women

Once every 12 months for high risk women.



To review all requirements of this policy, please see: CMS NCD listing by Chapter

Covered ICD-10 Codes.

Z01.411Encntr for gyn exam (general) (routine) w abnormal findings
Z01.419Encntr for gyn exam (general) (routine) w/o abn findings
Z12.4Encounter for screening for malignant neoplasm of cervix
Z12.72Encounter for screening for malignant neoplasm of vagina
Z12.79Encntr screen for malignant neoplasm of genitourinary organs
Z12.89Encounter for screening for malignant neoplasm of oth sites
Z72.51High risk heterosexual behavior
Z72.52High risk homosexual behavior
Z72.53High risk bisexual behavior
Z77.29Contact with and exposure to other hazardous substances
.... and many more.


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