88150 is for the pathology lab's interpretation of the pap smear, not the
collection. Pap smears are NOT CLIA-waived, as they have to be read by
a licensed cytotechnologist or physician pathologist. If the pap/pelvic is done
for screening, the preventive medicine CPT codes include this. If the pap/
pelvic are done because of a problem, make sure you do not list a screening
V-code as the diagnosis. The extent of the exam, ie. the extra time and
effort to do the pap/pelvic for the patient with a complaint should be reflected in your E/M coding. The more extensive the complaints, exam, and
medical decision making, the higher the E/M code.
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