Wiki Lab coding

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Klamath Falls, OR
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Hello-
We are having a difficult time with coding pap smears in the lab/specimen setting. We have a pap smear we want to code for billing that needs the dx code for pap (Z12.4) and they also got it screened for HPV (Z11.51) but the Z12.4 has an excludes 1 note and cannot be coded with Z11.51. So how do we code the pap smears that had HPV screening as well?

Thank you for the help.
-Chelsea
 
I would really like an answer to this as well

Is it okay now to code them together? What if the order Dx only states Z00.00 and a Pap and HPV test were done. Can we code them together now? I hope someone who knows can answer this. I'm coding facility outpatient Lab/Rad/Path.
 
We had the same problem and were told by a large national lab to use Z01.411 or Z01.419 for cervical paps. Insurances are paying with these diagnosis codes and are paying for the HPV screening (Z11.51).
 
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