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Thread: pap smear

  1. #1

    Default pap smear

    AAPC: Back to School
    If a patient has an annual gynecological exam W/pap is there a collection fee or is it included in the preventative code.
    This isn't my usual specialty.
    Thanks for anyones help.

  2. #2
    Join Date
    Apr 2007
    Idaho Falls, Idaho


    We bill out the annual cpt and then the 88142 for the pap. The collection fee is included in the 88142.
    Tesja Erickson, CPC
    Tesja Erickson, CPC, CPMA COBGC, CEMC
    The Coding Surgeon
    Medical Documentation & Coding Consultant
    2012 AAPC Idaho Falls Chapter President
    2011 AAPC Idaho Falls Chapter President-Elect

  3. #3
    Join Date
    Apr 2007
    St. Cloud, MN


    Isn't the 88142 for the lab? What if your clinic collects the specimen and sends to an outside lab? Would we then only be able to charge out the H&P code? Thanks for the clarification as this seems to be challenging my brain a little.

  4. #4
    Join Date
    Apr 2007


    If you are billing commercial, the collection is part of the E/M service; if you are billing Medicare bill Q0091 for the pap collection. You can't bill the lab code if you are sending the specimen to an outside lab.

  5. #5
    Join Date
    Apr 2007
    Watertown, NY


    For collection/conveyance... medicare we bill the Q0091 (and whoever else takes the Q code) if they dont take the Q code we use the 99000 if we are delivering the specimen to the lab.. We do not use the 8814X as this is what the lab will bill out for their services.

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