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See a sample rate comparisonHCPCS S0610 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Annual gynecological examination, new patient
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Screenings and Examinations |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility 72 - Rural Health Clinic |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for S0610 |
National average reimbursement for HCPCS S0610 by major payers:
$125.71
$111.30
$76.91
$119.61
Compare published rates across providers.
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HCPCS S0610
5 of 17 sample ratesHigher to lower in this preview
Christopher Raio
St Francis Hospital
$105.00Published rateProgressive Emergency Physicians PLLC
$105.00Published rateChristopher Raio
St Francis Hospital
$105.00Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$105.00Published rateChristopher Raio
Mercy Medical Center
$105.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS S0610 vs. Other Screenings and Examinations Codes
The HCPCS S0610 code is part of the Temporary National Codes (Non-Medicare) services used for Screenings and Examinations. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS S0610 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| S0601-HCPCS | Low | Screening proctoscopy |
| S0610-HCPCS | Low | Annual gynecological examination, new patient |
| S0612-HCPCS | Low | Annual gynecological examination, established patient |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S0610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S0610 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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