Results 1 to 5 of 5

Coding Abnormal Pap

  1. #1
    Default Coding Abnormal Pap
    Medical Coding Books
    I work for a Family Care Clinic, and my team and I have a question about coding abnormal paps: For exaple

    Pt came in on 01/09/2009 to get a pap done (this is not a PX). The physicain put "abnormal pap" down for a DX. The pt's pap results came back normal, but thier pap from the previous year (01/04/2008) came back abnormal.

    Now, how would we code this? Can we use the 795.0X for the visit becasue the pap was abnormal before? Or since on that visit the pap was normal, we would have to use a screening code?

    Please help!!!

    Thanks- Jessica

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    I'd code the 795.0X... it's the reason she was having another one (albeit almost a year had gone by)... BUT this current one, was "negative" AFTER the fact. So, because she had an abnormal pap before, it's why she was having another now, and thankfully - back to normal
    Donna, CPC, CPC-H

  3. Default
    if the pap smear was abnormal a year ago, the dx for this year can't be abnormal. Is the patient doing the pap smear this year as a screening test, then you need to code a screening dx. Insurance will cover a pap smear every year.

  4. #4
    Location
    Loma Linda
    Posts
    50
    Default Abnormal pap
    I code those by what the pathology report said on the previous pap or if you do not have that information then use V72.32 if this pap is normal. Also we use the 99213 code for these repeat paps.

  5. #5
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    insurance does cover pap's every year (not Medicare UNLESS they're high risk)... and, if they're last pap was abnormal, and that's "why" they are having another pap done ...NOT as a typical annual screening - then, yes - you can and should code the abnormal pap code. IF however this was just a typical annual screening (which insn't how I read the original post)...then yes, you'd code the screening pap code... and again, my insurance covers my annual (that's YEARLY) pap test.

    that being said, "typically" when a person has an abnormal pap, they don't wait a year before having another - they usually have one 3-6 months later. and again at one year.. AND, usually you have to have 3 "normal" pap smears after and abnormal pap to be back on track of "regular" annual screening paps...

    at least this is how it is where I'm at
    Last edited by dmaec; 01-14-2009 at 03:47 PM.
    Donna, CPC, CPC-H

Similar Threads

  1. Abnormal pap in pregnancy
    By swiedner7 in forum OB/GYN
    Replies: 1
    Last Post: 10-29-2015, 01:27 PM
  2. Abnormal Pap with HPV
    By kumeena in forum OB/GYN
    Replies: 1
    Last Post: 06-24-2014, 10:50 AM
  3. Follow up abnormal pap
    By dlashua in forum OB/GYN
    Replies: 0
    Last Post: 08-07-2013, 12:41 PM
  4. Coding for a Repeat PAP (abnormal)
    By zerry1 in forum OB/GYN
    Replies: 3
    Last Post: 10-07-2011, 08:37 AM
  5. Abnormal pap check
    By michelledc in forum OB/GYN
    Replies: 3
    Last Post: 10-14-2009, 03:49 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.