Per CCI Edits you can only code to the highest level once from 88104, 88106, 88108, 88112, and 88173 if done on the same DOS for same site. Per Path/Lab Coding Alert from June of 2009 states: "The AMA and the College of American pathologists recognize different cytopathology preparations (such as direct and concentrated smears) from a single specimen as distinct services. If your payer adheres to this interpretation, you should report the different levels. Is this still correct? Do you code one way for Medicare and differently for other payers?