Wiki ICD-9: Medicare screening for yeast/bv question

[jamie@beneficialmb.com]

Originally my doctor billed a Q0091 and G0101 with a diagnosis code of 112.1

This came back as incorrect. Should we have billed a G0147 and Q0091 instead?

Thanks!

 

[Amy Pritchett]

These are both Medicare screening codes that are to be used with annual pap smear submittal with the diagnosis of the screening for malignant neoplasm of cervix.
Did the physician perform a wet prep for the diagnosis or did the patient present for the annual gyn examination and the physician find the yeast?
Thanks

 

[jamie@beneficialmb.com]

The doctors' notes state the patient presents for a WWE. She does not have a diagnosis code of V72.31, just for the yeast. She also put in there to bill a G0439 as well. That came back denied for maximum benefit reached. Her notes aren't real clear.