Hi everyone! Our lab received a kickback on a code used for a high risk pap smear we received - it was for +HPV and I used the code but per Medicare, they require a screening code as the first listed diagnosis - with that being said, in the ICD-9 world, we always used "V15.89" (or something similar to that, I had to cross walk it to remember) as our first listed code which now, though, is "Z77.9" - I would keep using that but "Z77.9" is the code I use for DES exposure so I'm not quite sure what to do - Any thoughts? (I have included the message we got from the kickback below)
As explained more fully in chapter 10, Medicare requires that all screening Pap tests, both
routine and high-risk, be billed with a screening code as the principal (first listed) diagnosis.
As explained more fully in chapter 10, Medicare requires that all screening Pap tests, both
routine and high-risk, be billed with a screening code as the principal (first listed) diagnosis.