Medicare Claims Processing Manual (Pub. 100-04), Ch. 7 § 80.4
Screening Pelvic Examinations
80.4 - Screening Pelvic Examinations
(Rev. 1, 10-01-03)
Section 4102 of the BBA of 1997 (P.L. 105-33) amended §1861(nn) of the Act (42 USC
1395X(nn)) to include coverage of screening pelvic examinations for all female
beneficiaries for services provided January 1, 1998, and later. Effective July 1, 2001, the
Consolidated Appropriations Act of 2001 (P.L. 106-554) modifies §1861(nn) to provide
Medicare coverage for biennial screening pelvic examinations.
Payment is made under the Medicare Physician's Fee Schedule (MPFS).