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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,...
You can perform a screening Pap test and pelvic exam during the same patient encounter. You can also perform an HPV screening during the same encounter on any asymptomatic female patient ages 30–65 at the same time you provide a screening Pap test. When this happens, report both HCPCS procedure codes as separate claim line items. Table 2.
If using CPT ® preventive medicine services, and also performing a screening pap smear report a code in 99381-99397 series and Q0091. If using E/M codes for a symptom or condition and practitioner also obtains a pap smear report only the E/M service.
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.
Knowing the correct CPT codes for pap smears is crucial for accurate billing and reimbursement. Pap smears can be screening services or diagnostic services and may be performed during preventive medicine visits or problem-oriented visits.
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.
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.
Report 1 of the Pap tests, pelvic exams, 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.
Screening Pap Tests. Diagnosis Requirements. You must report one of the following International Classification of Diseases, 9th Revision, Clinical . Modification (ICD-9-CM) screening (“V”) diagnosis codes for a screening Pap test. Coming Soon! International Classification of Diseases, 10th Revision, Clinical Modification/Procedure
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.