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Pap for ASCUS

  1. #1
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    Moore Oklahoma
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    Default Pap for ASCUS
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    I was just wondering which CPT code if any would be appropriate for a repeat pap secondary to previous abnormal pap (ASCUS)? Would we charge a low level E/M such as 99212 for the collection or is there a specific CPT code for this? Any suggestions would be appreciated.

    Thanks,
    Misty
    Last edited by mlbaker1974; 11-04-2008 at 05:05 PM.

  2. #2
    Default
    DEPENDS WHO YOU ASK. SOME WOULD SAY TO USE THE LOW LEVEL E/M AND YOUr ABLE TO COLLECT A COPAY ALSO.

    OR USE Q0091.76 with the appropriate ICD-9CM. LIKE 795.08 unsatisfactory cervical cytology smear. Or V15.89 for high risk patient.


    I would suggest sticking with the E/M, makes the hole process simpler. Because your pretty much guarentee reimbursement. Versus the Q0091 which reimburses OK. Ranges from 35.00 to 45.00 a pop. But alot of insurance kick this HCPCS back.

    respectfully
    daniel, cpc

  3. #3
    Default
    If a patient presents for a diagnositic (key word) pap, then you would use an E&M rather than the HCPS code of Q0091.

    When patient presents for diagnostic procedures, when a CPT code is not available you would use an E&M level, typically a level 13 depending on components captured during service.
    Melissa

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