S0613 HCPCS Level II code: Annual gynecological examination; clinical breast examination without pelvic evaluation
S0613 is the HCPCS code for “Annual gynecological examination; clinical breast examination without pelvic evaluation” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S0613Annual gynecological examination; clinical breast examination without pelvic evaluation
Short description: Ann breast exam
HCPCS · United States
Medicare details
The indicators CMS publishes with S0613 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Not payable by Medicare
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Other medical items or services
- BETOS category
- Undefined codes
- Added
- Jul 1, 2005
Where S0613 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S0613Annual gynecological examination; clinical breast examination without pelvic evaluation
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 S0613 mean?
S0613 is the HCPCS code for “Annual gynecological examination; clinical breast examination without pelvic evaluation” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S0613?
CMS lists S0613’s Medicare coverage as “Not payable by Medicare” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. 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 S0613
All S codesS0592Comprehensive contact lens evaluationS0595Dispensing new spectacle lenses for patient supplied frameS0596Phakic intraocular lens for correction of refractive errorS0601Screening proctoscopyS0610Annual gynecological examination, new patientS0612Annual gynecological examination, established patientS0618Audiometry for hearing aid evaluation to determine the level and degree of hearing lossS0620Routine ophthalmological examination including refraction; new patientS0621Routine ophthalmological examination including refraction; established patientS0622Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)S0630Removal of sutures; by a physician other than the physician who originally closed the woundS0800Laser in situ keratomileusis (lasik)