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Ob-Gyn Coding Alert

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New V Codes Mean Easier Pay for Pap Smear and Pelvic Exam

Has your Medicare carrier been denying your Pap smear collection (Q0091) and pelvic exam (G0101) claims recently when submitted with V76.49? Dont worry, because this problem will be resolved soon, according to CMS.
Beginning Oct. 1, Medicare carriers will accept V76.47 (Special screening for malignant neoplasms; vagina) and V76.49 (Special screening for malignant neoplasms; other sites) as low-risk diagnoses to support medical necessity for Q0091 (Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory) and G0101 (Cervical or vaginal cancer screening; pelvic and clinical breast examination), according to CMS Program Memorandum AB-03-054 issued May 2. The agency added V76.49 for providers to use for women without a cervix, the memorandum states.
To review the program memorandum, go to the CMS Web site at AB03054.pdf.

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