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Which codes can I use to get paid for a routine pap smear done to a Medicare Pat

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Alice Scott:
Question
Hello Alice,
Thank you for all of the valuable information. I love reading your articles, they are so informative and invaluable.
I have a question for you please. Which codes can I use to get paid for a routine pap smear done to a Medicare Patient?
Medicare is denying all claims with the diagnosis codes of V72.31 or V76.47 as they do not pay for V codes.
If you can help me I would be very very grateful.
Thank you
Amy

Answer

Hi Amy,
I think the problem may be with your procedure code not with the diagnosis code. When billing for a screening pap you need to use the P3001 procedure code for the pap. If the pap is diagnostic then you would use the 88164 with a medical diagnosis. If you are already using the P3001 and still getting denials, let me know and I will look into it further.
Good luck,
Michele

jenfogle:
Alice,  We were having issues with this as well, but started billing with G0101. We are getting paid for it, but I havent heard of the P3001- should we be using it instead?

Alice Scott:
Amy,

If it ain't broke, don't fix it.  If you are getting paid for the G code I wouldn't change it.

Michele

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