Pathology/Lab Coding Alert

Question: What ICD-9 code should we use to report a Pap test with -normal- results? Texas Subscriber Answer: ICD-9 doesn't have a specific code for normal Pap test results. Instead, you should report a normal Pap test with the ordering diagnosis. When you report the reason for the test as the only diagnosis, you-re stating, effectively, that you do not have any abnormal findings to report. Do this: For a screening Pap test with normal findings, you should report the appropriate screening code, such as one of the following: - V72.31 -- Routine gynecological examination - V76.2 -- Special screening for malignant neoplasms; cervix - V76.47 -- Special screening for malignant neoplasms; vagina - V76.49 -- Special screening for malignant neoplasms; other sites. Or this: For a diagnostic Pap, you should report the sign or symptoms that prompted the order for a Pap test. For instance, you might report a prior abnormal Pap, such [...]