Wiki Coding for Pap of Double Uterus

[krause.gretchen@healthnow.org]

Does anyone know how to appropriately bill for a pap when the patient has uterine didelphys (double uterus and double cervix).

I have a claim where the provider billed

88175, 88175 - 22
88141, 88141-22

Our clinical editor is denying the second pap and interpretation for clinical daily maximum exceeded.

 

[cgaston]

You can try using the -KX modifier instead of -22. This signifies to the carrier that you have documentation to support the medical necessity of the service.

So they will probably deny it first asking for documentation and then you can send them the supporting documentation for the second services.