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PAP smear

Tammy Posted Thu 15th of October, 2015 13:29:35 PM

Is there a code for a pap smear done by a provider. Only the pap was done and the patient does not have Medicare it is a private insurance? , HOW DO I BILL THIS? (no preventive, because the internist already used a preventive code)

SuperCoder Answered Fri 16th of October, 2015 04:20:06 AM

"Thanks for your question.
If the service is a screening service, that is, part of an annual exam or preventive medicine service, then there is no additional code to bill .  The preventive medicine codes include an age/gender appropriate history and exam, along with anticipatory guidance, risk factor reduction and referral for or provision of immunization and other screening diagnostic tests appropriate for that patient's age, gender and medical history.   That is, if the woman's age requires a pelvic and pap smear, those services are part of the payment for the preventive medicine service.  There is no additional payment.  And, you are not paid less for not doing it, if it is not required."

Tammy Posted Mon 19th of October, 2015 07:20:46 AM

Only the pap was done

SuperCoder Answered Tue 20th of October, 2015 02:01:45 AM

As per CPT guidelines, there is no separate CPT code for Pap smear. You will not get any pay for this service separately. In this scenario, internist already billed for preventive service, its means internist already billed this service.
This is inclusive service with preventive service whether it is done or not. Physician or internist are not paid less for not doing this.

Tammy Posted Tue 20th of October, 2015 06:10:53 AM

thank you!

SuperCoder Answered Wed 21st of October, 2015 00:16:24 AM

Happy to help.

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