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Coding for a Repeat PAP (abnormal)

  1. #1
    Default Coding for a Repeat PAP (abnormal)
    Medical Coding Books
    Clarification........

    I 've always billed out a E&M "ONLY" for a repeat pap with the dx of ascus or whatever abnormal pap dx code maybe. I 'm at a new office and they're stating that they bill a 88143 (for the pap) along with the E&M for the pt coming in for a 3-6 month repeat pap. I have no problem billing it out this way IF, it is the correct way. What is your thought on this?

    I need clarification/proof (in writting) to show which way is the correct way to code a repeat pap? Does ACOG have any info on this type of visit?

    Thank you in advance.

    Lisa

  2. Default
    You are correct, you can not report anything other then an E/M for a repeat pap. Re-paps due to abnormal findings are no longer classified as "screening". I can't site guidelines at this time, but if you have access to the internet, Google your question and your bound to find the info you need.

  3. Default
    For BCBS, they want you to bill G0101 (80.00) and Q0091 (70.00).

  4. #4
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    Default
    Quote Originally Posted by lisabooboo View Post
    Clarification........

    I 've always billed out a E&M "ONLY" for a repeat pap with the dx of ascus or whatever abnormal pap dx code maybe. I 'm at a new office and they're stating that they bill a 88143 (for the pap) along with the E&M for the pt coming in for a 3-6 month repeat pap. I have no problem billing it out this way IF, it is the correct way. What is your thought on this?

    I need clarification/proof (in writting) to show which way is the correct way to code a repeat pap? Does ACOG have any info on this type of visit?

    Thank you in advance.

    Lisa
    The 88143 is a code for the lab to use not for the physician office to use to perform the pap collection. You are correct it is an office encounter.

    Debra A. Mitchell, MSPH, CPC-H

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