Medical Billing Forum

Coding => Coding => Topic started by: joyce on July 20, 2012, 02:43:16 PM

Title: PAP SMEAR CODING
Post by: joyce on July 20, 2012, 02:43:16 PM
Can anyone please advise what the proper procedure coding is for a pap smear done at the time of an office visit?  There are so many codes that I don't know which way to go first...  THANKS!
Title: Re: PAP SMEAR CODING
Post by: Michele on July 20, 2012, 07:36:03 PM
There are different types of paps, routine screening or diagnostic, and it also depends on the insurance you are billing. 

The following web site has some good info on pap billing:

http://www.codapedia.com/article_358_How-do-I-bill-for-a-PAP-smear.cfm
Title: Re: PAP SMEAR CODING
Post by: joyce on July 20, 2012, 10:08:40 PM
Thanks Michelle! If I understood correctly,the Q0091 should be used for routine paps? Another question...  I had a pt who presented for a physical, yet, also had possible STD exposure, would you still use the Q0091? I'm thinking yes, but just want to be sure... I truly thank you!
Title: Re: PAP SMEAR CODING
Post by: Michele on July 25, 2012, 09:07:33 AM
I don't bill paps so I don't have personal experience with them.  As far as the patient with possible STD exposure, the person doing the pap needs to determine if the pap is being done routinely or if it's being done diagnostically due to the STD exposure.  You can't determine that from the billing end.