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CPT Q0091 pap collection

  1. Exclamation CPT Q0091 pap collection
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    Hi!

    Can anyone provide some advice on billing Q0091 for pap collection & specimen handling?

    Do you have to add a modifier to the code when you bill it with the Preventive Annual Exam code? For instance, 99396 with Q0091. My understanding was that the Q code was not able to be billed separately. (?)

    Experience with reimbursement? I know this is typically used for Medicare; what about commercial payers?

    Thanks so much!

  2. #2
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    Coverage guidelines vary from payer to payer for Q0091. Some will reimburse and others consider it to be part of the E&M. ACOG recommends that Pap smear collection is an included component of the exam. Medicare follows the same rule if collected for diagnostic and not screening.


    AHG,
    CPC, CPMA

  3. Default
    Medical Billing
    I really appreciate you taking the time to reply; thanks for the help!!

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