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Medicare Pap Smear Coding

  1. Question Medicare Pap Smear Coding
    Medical Coding Books
    We had a Medicare patient visit our practice due to vaginal rash and itching. After discussion, the physician decided a pap smear was required. I want to double check our billing prior to submission; I don't believe this would be considered routine gynecological/preventative due to the original visit reasons. Would we bill an E/M code with a 25 modifier and the pap? Please educate me!

  2. #2
    Evansville Indiana
    Default pap
    It would be an e&M code. The Q0091 for the pap is only for screening paps. A diagnostic pap is included in the e&M code.


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