PAP Smear Only

CrysLednum

Guru
Messages
103
Location
Charm City - Baltimore
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0
Good morning -

Patient (non-Medicare) recv'd letter stating she was due for pap. Patient has not had one in three years. Comes in for just that.

Physician billing 99213 with V72.31 stating this was a Well Woman Exam.

The note is in no way "comprehensive" in terms that History only adresses Past History and 1 ROS. Exam only addresses Constitutional and Pelvic exam.

I am not sure that a 99386 with V72.31 would be appropriate. But neither is billing 99213 with the V code.

Any ideas?

Thanks!
 

msr1984

Contributor
Messages
20
Location
Honolulu, HI
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0
I am not sure about your state's medical assistance program, but Virginia Medicaid will reimburse it under a S0610 (new) S0612(est) which is specifically a gynecologic exam (Contact your state's medical assistance program to verify their acceptance of S-codes. So many insurances don't even recognize it
 
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