Results 1 to 3 of 3

Thread: How to bill re-pap

  1. #1

    Question How to bill re-pap

    Hello,

    I work for a group of family practitioners in Reston, Virginia. One of the issue always comes up that patient came in for a well woman visit and we submitted the sample to the lab. Lab tells us two days later that the sample was not good to perform the needed test. We ask patient to come back to the office and recollect the sample. Currently, we do not bill this visit to the insurance or patient. I understand there are diagnosis codes for this visit. But I have no idea which CPT code I should use to bill this visit to insurance. I understand I may have to add modifier 76 to the CPT code, as this will be the repeat procedure by the same physician. But this is not done in a hospital, it is just done in the office. The patient comes in is for doctor to recollect the sample and send it to the lab.

  2. #2
    Join Date
    Apr 2007
    Posts
    517

    Default

    Assuming there coming in for a re-pap because they had a abnormal pap.
    I just bill it as Q0091.76.795.0X.

  3. #3
    Join Date
    Apr 2007
    Location
    York, Pa
    Posts
    1,901

    Default

    2017 ICD-10-CM Coding Book
    Quote Originally Posted by ragsac View Post
    Hello,

    I work for a group of family practitioners in Reston, Virginia. One of the issue always comes up that patient came in for a well woman visit and we submitted the sample to the lab. Lab tells us two days later that the sample was not good to perform the needed test. We ask patient to come back to the office and recollect the sample. Currently, we do not bill this visit to the insurance or patient. I understand there are diagnosis codes for this visit. But I have no idea which CPT code I should use to bill this visit to insurance. I understand I may have to add modifier 76 to the CPT code, as this will be the repeat procedure by the same physician. But this is not done in a hospital, it is just done in the office. The patient comes in is for doctor to recollect the sample and send it to the lab.

    In this situation, which has happened to us from time to time, we do not charge for the 2nd visit, since the specimen was not enough. We just take the hit.

    Just my thoughts.

    Roxanne Thames, CPC

Similar Threads

  1. Can you code a pap smear on the same bill as a Welcome to Medicare Visit?
    By Carroll1220 in forum Employment General Discussion
    Replies: 2
    Last Post: 02-11-2015, 04:17 PM
  2. employee flu shot - to bill or not to bill
    By arrana in forum Compliance General Discussion
    Replies: 0
    Last Post: 10-11-2013, 12:31 PM
  3. 95971/95972 To Bill Or Not To Bill???
    By AndieL in forum Anesthesia
    Replies: 1
    Last Post: 04-18-2012, 09:20 PM
  4. Pap smear following normal 6 mo pap
    By astough in forum OB/GYN
    Replies: 1
    Last Post: 02-22-2012, 06:48 AM
  5. correct way to bill pap ad e/m service
    By lopezk89 in forum OB/GYN
    Replies: 2
    Last Post: 04-01-2011, 01:38 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.