G0101 HCPCS Level II code: Cervical or vaginal cancer screening; pelvic and clinical breast examination
G0101 is the HCPCS code for “Cervical or vaginal cancer screening; pelvic and clinical breast examination” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination
Short description: Ca screen;pelvic/breast exam
HCPCS · United States
Notes for G0101
As CMS prints them, with any note G0101 takes from the headings above it.
Note
- CMS processing note 0064: COVERAGE AND PAYMENT BASED ON BALANCED BUDGET ACT OF 1997 (G0101 - SEC 4102; G0104, G0105, G0106, G0107, G0120, G0121, G0122, G0128 - SEC 4104).
Medicare details
The indicators CMS publishes with G0101 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Physician fee schedule – Price established using national RVUs
- Type of service
- Medical care
- BETOS category
- Office visits - new
- Added
- Jan 1, 1998
Where G0101 sits
- 1G codesProcedures and professional services
- 2Active code G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code G0101 mean?
G0101 is the HCPCS code for “Cervical or vaginal cancer screening; pelvic and clinical breast examination” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0101?
CMS lists G0101’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Physician fee schedule – Price established using national RVUs”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G0101
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