Wiki Pap dx

[rlmarkow]

greetings........

Screening Pap with the results of:
Benign cellular changes, parakeratosis
Negative for intraepithelial lesion or malignancy

interpreted by cytotech and pathologist.

The lab wants me to bill:

88175 V76.2
88141 V76.2 and 795.09

Any thoughts on this? I've been billing 795.09 on the 88141 (no V76.2)

Please straighten me out and if you know where I can get some documentation for back up, that would be wonderful!!!

Thank you!
Rhonda

 

[whaleheadking]

I don't have my books with me, but this seems appropriate. The pathologist's findings are listed as a secondary dx for screening paps. Unlike procedures that are ordered for signs and symptoms, the pathologist's findings do not replace the original intent of a screening.

I also don't have a reference for you, but I think a very similar example appears in the Medicare Billing Manual. The 795.XX series is specifically designated to report pap smear results, and more definitive codes should not be used without definitive documentary support.

WK