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Wiki Justification for pathologist interpretation of 88141

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adevine

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Our cytotech is processing a routine screening (V76.2) pap smear (88142 or 88145) of a pre-menopausal patient, and sees "no endometrial cells". Is that a valid reason for the pathologist to examine and interpret (88141) this specimen? I've looked at CAP and ASCP sites for guidelines, but haven't seen this on either. If you have any specific documentation on this question, please quote it!
 
Just to clarify: we have had problems recently with 88141 on claims, linked to an abnormal Pap diagnosis. Other payers are declining reimbursement for this CPT linked to the screening Pap diagnosis. Do your pathologists have any (formal or informal) "standards of practice" regarding the medical necessity of adding 88141 to claims for screening Paps?
 
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