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Routine Pap Code.....

  1. #11
    Location
    Columbia, MO
    Posts
    12,843
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    Medical Coding Books
    Quote Originally Posted by tprescott View Post
    Our office bills 88142-90 for non-medicare paps. We use automated thin layer preparation and send it to an outside lab (modifier 90). If you look in the CPT book above 88142 it states, "Codes 88141-88155...are used to report cervical or vaginal screening by various methods and to report physician interpretation services." See if any of these codes describe what your office does.
    Those are the path codes though for the pathologist to use.

    Debra A. Mitchell, MSPH, CPC-H

  2. #12
    Location
    Columbia, MO
    Posts
    12,843
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    Quote Originally Posted by mitchellde View Post
    Those are the path codes though for the pathologist to use.
    The coders desk reference for 88142 states:
    "At the lab special instruments take the cells in the preservative suspension and "plate-out" a monolayer for screening-the careful review of the specimen for abnormal cells."
    If you are obtaining the cells and plating them in a preservative suspension and sending it to the lab, then this is not the code for that activity. The Q code is for obtaining the specimen.

    Debra A. Mitchell, MSPH, CPC-H

  3. #13
    Talking
    Wow guys thanks sooooo much for all the info you guys ROCK!! I really appreciate it!!! I love that we can pick each others brains about this stuff!!!

  4. #14
    Location
    Greeley, Colorado
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    2,045
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    Quote Originally Posted by mitchellde View Post
    The coders desk reference for 88142 states:
    "At the lab special instruments take the cells in the preservative suspension and "plate-out" a monolayer for screening-the careful review of the specimen for abnormal cells."
    If you are obtaining the cells and plating them in a preservative suspension and sending it to the lab, then this is not the code for that activity. The Q code is for obtaining the specimen.
    Ditto - you can't code any of these codes 88141-88155 in the physician office.
    Lisa Bledsoe, CPC, CPMA

  5. #15
    Location
    Alexandria Minnesota Chapter
    Posts
    50
    Default
    Wow, this is how our office has billed them for years. I will have to bring this up to my supervisor. Thanks everyone!

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