You are going to bill the wrong patient and they are going to have your provider up the river. You cannot bill a patient for a service that their plan covers. Correct the coding first. And who bills Medicaid patients? It appears that someone has no clue of what they are doing if they are billing patients for covered services. The EOB will state clearly that patient is not responsible. I see an audit in your future.If I bill Q0091 to an insurance that does not pay for that procedure seperately can I bill the patient? I am a salaried ObGyn office where the billing is done by the hospital. The coders insist on using Q0091 for all pap claims then billing the patient when the insurance doesn't pay--even Medicaid patients.
First thing you want to do is check the carrier Medical Policy. Is your provider only submitting fir the specimen collection or is he/she doing he entire annual pap and pelvic exam?I work for an Internist if we have a Patient who has BCBS of Mass . She comes in for an office visit billed 99213 and a pap . Can he bill both G0101 and Q0091? If not G0101 than what other code should he use? Thank you in advance!
I have this same question but it is a Medicare patient so an S code can't be used. I know I can bill the Q0091, but I don't believe I can code the G0101 because the pelivc exam wasn't done. Can I use modifier 52 for reduced service?Does anyone know what code to use if only breast exam is perform? and not the pelvic exam?