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CPT Q0091 pap collection

  1. Exclamation CPT Q0091 pap collection
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    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
    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.


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

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