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PAP Smear Only

  1. #1
    Location
    Charm City - Baltimore
    Posts
    103
    Default PAP Smear Only
    Medical Coding Books
    Good morning -

    Patient (non-Medicare) recv'd letter stating she was due for pap. Patient has not had one in three years. Comes in for just that.

    Physician billing 99213 with V72.31 stating this was a Well Woman Exam.

    The note is in no way "comprehensive" in terms that History only adresses Past History and 1 ROS. Exam only addresses Constitutional and Pelvic exam.

    I am not sure that a 99386 with V72.31 would be appropriate. But neither is billing 99213 with the V code.

    Any ideas?

    Thanks!
    Crystal, CPC, CCS-P

  2. #2
    Location
    Evansville Indiana
    Posts
    451
    Default pap smear
    What insurance?

  3. #3
    Location
    Charm City - Baltimore
    Posts
    103
    Default
    Medical assistance.
    Crystal, CPC, CCS-P

  4. #4
    Location
    Honolulu, HI
    Posts
    20
    Default
    I am not sure about your state's medical assistance program, but Virginia Medicaid will reimburse it under a S0610 (new) S0612(est) which is specifically a gynecologic exam (Contact your state's medical assistance program to verify their acceptance of S-codes. So many insurances don't even recognize it

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