HCPCS Level II · Temporary national codes (non-Medicare)
S0613Annual gynecological examination; clinical breast examination without pelvic evaluation
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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About S0613
S0613 is an HCPCS Level II code in the S series (temporary national codes (non-Medicare)), describing annual gynecological examination; clinical breast examination without pelvic evaluation.
It was added to HCPCS effective 07/01/2005.
Its Medicare coverage code is "I", meaning it is not payable by Medicare (another code or method is used).
Details
- Short description
- Ann breast exam
- Date added
- 07/01/2005
- Action effective
- 07/01/2005
- BETOS
- Z2
Related S06xx codes
- S0601Screening proctoscopy
- S0610Annual gynecological examination, new patient
- S0612Annual gynecological examination, established patient
- S0618Audiometry for hearing aid evaluation to determine the level and degree of hearing loss
- S0620Routine ophthalmological examination including refraction; new patient
- S0621Routine ophthalmological examination including refraction; established patient
- S0622Physical 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 wound
Common questions about S0613
Is HCPCS S0613 still valid?
- Yes. S0613 is active in the CMS October 2026 HCPCS file.
Does Medicare cover S0613?
- Its coverage code is "I": it is not payable by Medicare (another code or method is used). Check the local coverage determination for your region.