Coding Quiz Answers:
Check Your Pap Smear Coding Responses With Our Experts'
Published on Mon Aug 17, 2009
Did you take into account high- and low-risk patients? Find out. Discover if your responses to questions 1-4 are spoton, or if you need to dig deeper into Pap smear coding concepts. Scenario 1: Include Collection in E/M A low-risk non-Medicare patient returns to the ob-gyn upon receiving a finding of atypical squamous cells of undetermined significance (ASC-US) after her last visit. The ob-gyn performs another Pap smear. Answer: C. Pap smear collection is usually included in the E/M service. Trap: Resist temptation to report the test separately (using +88141, Cytopathology, cervical or vaginal [any reporting system]; requiring interpretation by physician, for example). Ob-gyns aren't usually the provider who screens the smear -- a lab is. Therefore, the lab would charge for the screening, not the ob-gyn. Also, reporting 88141 means you're telling the payer that the Pap was difficult to read and required the interpretation of the pathologist, not just the [...]
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