Results 1 to 6 of 6

Papsmear billed with E&M or H&P

  1. #1
    St. Cloud, MN
    Red face Papsmear billed with E&M or H&P
    Medical Coding Books
    We are having a problem with getting reimbursed for our papsmear and pelvic exams Q0091 and G0101 when being billed with a problematic E&M or with an H&P code. BCBS states that they are inclusive and we do not know what to do. I am hoping for help on this one.

  2. #2
    Seacoast- Dover New Hampshire
    It is my understanding that the Q0091 and G0101 are for Medicare only. With BX I wonder if you are billing the the correct Preventative visit code. Pap is considered included with the Preventative codes. Any other comments?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    Greeley, Colorado
    I agree with Karen. I have never used Q0091 or G0101 for anything but Medicare.
    Lisa Bledsoe, CPC, CPMA

  4. #4
    I have used Q0091 but never G0101 for other insurances. Most insurances do pay for Q0091 from my experience!
    Herbie W Lorona Jr., CPC, CPC-H

  5. #5
    If it is a Blue cross/blue shield pt, we normally use code S0610 or S0612 for paps. I am not sure if this helps.

  6. #6
    St. Cloud, MN
    Smile Papsmear
    Thanks for all your advice. I am glad to be getting into this field of everchanging information. I love a challenge and appreciate all your help. It really has helped me greatly.

Similar Threads

  1. E&M billed with EKG
    By cmontgomery in forum Family Practice
    Replies: 6
    Last Post: 12-01-2014, 01:46 PM
  2. 11402 & 11200 Billed Together
    By jrush7779 in forum Internal Medicine
    Replies: 3
    Last Post: 08-20-2012, 12:43 PM
  3. 54060 & 54057 billed together
    By coders_rock! in forum Urology
    Replies: 2
    Last Post: 07-04-2011, 06:48 AM
  4. FNA billed with E&M
    By csjennings in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 03-03-2010, 01:50 PM
  5. can 29806 & 29826 be billed
    By BFAITHFUL in forum Orthopaedics
    Replies: 9
    Last Post: 10-12-2009, 02:04 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?


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.