pap smear

SUSRY

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Please help, I am new to OBGYN and need some help on the Q0091 for medicare. I know this is a screening code. What if the patient comes in for a diagnostic pap smear? What is the code that is the same as Q0091? We have a covered dx but the office keeps billing a Q0091 with the GA mod. We are basically collecting the pap and sending it the the lab for processing. There has to be a diagnostic code we can use, but most of them say with physician reading. Please let me know.
Thanks,
S. Usry CPC
 

clewis23

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The diagnosis shows that this is not a screening Pap. Q0091 shows the collection only other codes in HCPCS reflect the Pathologist services. If an E/M service is appropriate for a separately identifiable event, then you could bill for the separate service.
 
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