A well-woman exam is a preventative medical service that should be performed each year by your OB/GYN. The American College of Obstetricians and Gynecologists has a guide that breaks down what types of exams, screenings, and immunizations should be done based on age. The basic preventative medicine visit for women’s health is similar for most women of reproductive age.
At Kamm McKenzie, we perform the following services during the well-woman exam:
- Pelvic exam
- Breast exam
- Pap smear screening [link to Pap Smear Screening page] (how often this is done depends on age & risk factors)
- Urinalysis dip
- Pregnancy test
- Protein and sugar check
- Hemoglobin test for anemia
Your annual well-woman exam is also an opportunity to talk to your doctor about any worries or concerns you have about your health. Birth control counseling or family planning can be part of your annual visit. You may also want to talk about things that may affect your reproductive health like changes in sexual partners and STD screening.
Many women do not realize that their OB/GYN can give them advice and help them with things that aren’t considered reproductive health topics. These topics include things like weight loss and mental health
Services & Insurance Coverage
Different insurance plans may cover different services during your well-woman exam. Please familiarize yourself with your benefits, and know your insurance coverage. All plans now cover the office preventative medicine visit which covers pelvic, breast, and pap smear exams. But not all plans cover all services we perform in a standard annual exam.
We additionally dip your urine to screen for protein and sugar and perform a hemoglobin test; an indicator for anemia. Some plans may not cover these two labs. If you know your insurance plan does not cover these tests, you have the right to decline them. We include them as part of our annual exam because it is good medicine that is recommended for prevention.
Below are the two CPT codes we submit to insurance companies during the billing process. CPT codes are codes that report what kind of medical services you have during a visit. We have also included the charges we bill.
You can use these CPT codes to call your insurance and see if they cover them. If they are not covered we will bill you according to how your insurance processes your claim. If you do not agree with their decision please call your insurance and dispute this with them; please refrain from calling our office.
The codes are as follows:
- 81002 Urinalysis $10.00
- We dip your urine sample in a cup
- 88738 Hemoglobin $15.00
- This is when we put your finger in a finger clip and it reads your blood count