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What comes up most often are codes 88141-88175, which are actually meant for pathologists examining a specimen. A search in your electronic health record will often find HCPCS code Q0091,...
The only CPT ® codes specifically for pap smears are for use by a pathologist, for the interpretation of the cytology specimen. CPT ® codes in the lab section, 88000 series, should not be reported by the office physician who collects the pap smear.
Report 1 of the Pap test, pelvic exam, and HPV ICD-10-CM screening diagnosis codes listed in Table 6. Use the appropriate code to indicate the patient’s low- or high-risk status. Table 6.
A pap smear CPT code refers to the specific code used to bill for a pap smear procedure. It is a standardized coding system used in medical billing and coding to accurately report and reimburse healthcare services.
When selecting the appropriate CPT code for the pelvic exam and screening pap smear, it is crucial to refer to the specific preventive medicine service codes (99381-99397). These codes are age and gender-specific, and proper code selection ensures accurate reimbursement.
This service is reported with the following HCPCS code: G0476. Infectious agent detection by nucleic acid (DNA or RNA); human papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to Pap smear.
Pap smears are used to test for cervical/vaginal cancer. We created a list with all the CPT codes for Pap smears and included the official long descriptions and a short description for each code. You can use CPT 88150, CPT 88153, CPT 88164 and CPT 88165 for Pap smears with manual screening.
The CPT codes for obtaining a screening Pap smear are Q0091 for Medicare patients and 99381-99397 for commercial patients. The interpretation of the cytology specimen is reported using CPT codes in the lab section, specifically the 88000 series.
According to HCFA guidelines, when a Medicare patient presents for her Pap smear, pelvic and breast exam, the service can be billed to Medicare using the HCPCS Q0091 (collecting the Pap smear specimen) and G0101 (performing the pelvic and clinical breast examination).
When billing for non-covered services, use the appropriate modifier. Consistent with National Coverage Determination (NCD) 210.2.1 screening HPV services are to be billed with Healthcare Common Procedure Coding System (HCPCS) code G0476. These services require dual diagnosis codes.