jtessmer@aipathology.com
Guest
Hello,
Maybe one of you can help clarify these different scenarios for me? I work in a pathology lab, so we do not see patients at all, we are given the specimen and requisition form for testing from the physician.
We go off what is specified on the requisition form that accompanies the pap smear to determine where it was collected from. However, I have some questions:
Z12.4 - Screening pap smear of cervix in the absence of sign, symptom or history.
Z01.419 - Screening pap smear of cervix in the absence of sign, symptom or history, smear collected as part of gynecological examination.
^^^ When/why would there be a pap without a gyno exam? Would the "default" code be Z12.4 or Z01.419?
Z12.72 - Screening pap smear of vagina in the absence of sign, symptom or history.
^^^ What if there is a specimen labeled "cervical/vaginal" collection? Ideally the specimen will be collected from both sites for the cytotech to review, if circumstances allow.
Would you use cervical as the "default" or vaginal as the "default"? Or is there another code out there that specifies BOTH cervical and vaginal collection?
Thanks in advance for your help!!!
Jen
Maybe one of you can help clarify these different scenarios for me? I work in a pathology lab, so we do not see patients at all, we are given the specimen and requisition form for testing from the physician.
We go off what is specified on the requisition form that accompanies the pap smear to determine where it was collected from. However, I have some questions:
Z12.4 - Screening pap smear of cervix in the absence of sign, symptom or history.
Z01.419 - Screening pap smear of cervix in the absence of sign, symptom or history, smear collected as part of gynecological examination.
^^^ When/why would there be a pap without a gyno exam? Would the "default" code be Z12.4 or Z01.419?
Z12.72 - Screening pap smear of vagina in the absence of sign, symptom or history.
^^^ What if there is a specimen labeled "cervical/vaginal" collection? Ideally the specimen will be collected from both sites for the cytotech to review, if circumstances allow.
Would you use cervical as the "default" or vaginal as the "default"? Or is there another code out there that specifies BOTH cervical and vaginal collection?
Thanks in advance for your help!!!
Jen