Pap smear NOt at time of physical for commercial payors

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I was wondering what your input was as to billing out paps that are NOT done at time of physical. We mostly do non medicare (as paps are not recommended after 65).
We are using icd code ICD-9 V72.31 or ICD-10 Z01.419( w/o abnormal findings)
Should it be billed with E/M code along with smear screening using 88141-88155 Pap Smears codes or use

HCPCS Q0091-Q0092

P3000-P3001 Pathology Screening Tests

G0127-G0177 Temporary Miscellaneous Services

?

Thank you
 

Coding Chick

Networker
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LOGANDALE, NV
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If it's just a pap smear collection code Q0091 but if an breast and pelvic exam are included a G0101 is coded for insurances following Medicare guidelines or S0610/S0612 for other insurances.
 
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