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pap smears

  1. #1
    Talking pap smears
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    I have a provider questioning how to code a non medicare (commerical ins) patient who wants a pap smear or pap smear with breast exam without the Willness exam. I've billed and have read that the appropriate way to code is 99213-25, Q0091 depending on payor, I've had them paid without recoupement. Other payors will only paid the office visit. Prefer experience coder reply. Please also give billing for repeat pap Thanks

  2. Default
    I feel if the patient presents for her breat, pap and pelvic and does not want the additional involved in the annual visit, bill the 9939X or 9938X with modifier -52 for reduced services. If she presents for a "repeat" pap then bill the 9921X.

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