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Wiki Pap Only Visits

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msksmith

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Rosharon, Texas
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Hello! Please advise....not sure how to code for pap only visits to Medicaid. Our claim denied - service (99212 & 88164) not allowed for this DX (Z12.4).
Thank you in advance!
 
We have always coded Q0091 for the pap with the Z12.4. We also code G0101 for the breast and pelvic exam (with Z01.411). We wouldnonly bill a 99212 along with the pap, if an additional problem was documented.
 
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