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Thread: pap smear

  1. #1

    Default pap smear

    AAPC: Back to School
    Please help, I am new to OBGYN and need some help on the Q0091 for medicare. I know this is a screening code. What if the patient comes in for a diagnostic pap smear? What is the code that is the same as Q0091? We have a covered dx but the office keeps billing a Q0091 with the GA mod. We are basically collecting the pap and sending it the the lab for processing. There has to be a diagnostic code we can use, but most of them say with physician reading. Please let me know.
    S. Usry CPC

  2. #2
    Join Date
    Apr 2007
    Pro Tulsa Chapter

    Default Diagnostic pap

    is part of the E/M code - you are correct Q0091 is for screening pap only.

  3. #3


    The diagnosis shows that this is not a screening Pap. Q0091 shows the collection only other codes in HCPCS reflect the Pathologist services. If an E/M service is appropriate for a separately identifiable event, then you could bill for the separate service.

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