• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki E/M Same Day as PAP

Create Wiki
M

mmagness

Networker
Messages
58
Location
Knoxville, TN
Best answers
0
Is is common for a insurance company to deny a Pap smear as "included" in the E/M service done on the same day?
Example: Patient came in for a PAP and while here mentioned that she had some congestion and sinus drainage. We billed a E/M service for the head congestion etc and also billed for the PAP- but insurance denied. Does anyone have any suggestions on how to (if we can) get both services paid?

Any help is appreciated.

Thanks,

Molly
 
If the "pap" is actually her annual physical, it should be billed as preventive and the problem oriented portion of the visit should be billed as an e/m with mod -25.
 
G0101

G0101 is actually a Medicare code. Some insurances will accept and some won't, this might be one that doesn't accept this code and includes the service in the E&M for the day.
 
You must log in or register to reply here.
Top