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New to billing paps HELP

N

nmalpass

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10
Location
Wilmington
I'm new to pap coding and need help. We bill Q0101 and Q0091 with dx code V72.31 to medicare. They pay the Q0101 but denied the Q0091 can anyone give me any information on this or where I can get direction on filing?
 
did your physician perforem a cervical PAP or a vaginal? if your patient has had a hysterectomy then you need to know this, Medicare does. If your pt had a hyst with a remaining cervical stump then you need to add the V88.xx code that states this, if he performed a vaginal pap then you need to add the V76.47 with the correct V88.xx code. Not sure but this could be the problem
 
you do not need a V76.2 for the cervical PAP as that is excluded from the V72.31, you only need to designate if the patient has had a hyst with a remaining stump or if it was a Vaginal PAP. These instructions are in the ICD-9 book.
 
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