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Wiki Pap & IUD insertion under anesthesia

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LeaHarris

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How do you code a pap and insertion of a Mirena IUD under anesthesia in the OR? Do you code it as a procedure only with Q0091 for the Pap, 58300 for IUD insertion and then the appropriate J code for the Mirena? What about a modifier to indicate procedure completed under anesthesia? Would your place of service be the hospital since that is where this all took place?

Thank you!
 
Did you ever get this question answered?

I have a similar case but in the outpatient setting. Patient comes in for IUD insertion and a PAP smear was done. The codes billed are Q0091 + 58300. I checked the CCI edits and there's no conflict between these two codes, no need to add a modified if reported together. I just can't find a proper guideline on reporting these two codes together...
 
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