Medical Billing Forum

Billing => Billing => : billspecial December 11, 2008, 10:39:02 PM

: Need Help with some CPT codes
: billspecial December 11, 2008, 10:39:02 PM

My physician (Family Practice) is billing a 76645 for a breast exam done along with a pap smear; but a 76645 is a breast ultrasound! I know there is another code to be used instead of this one, but I can't find it.
In addition to this isn't there a CPT code I can bill for a pap smear?

: Re: Need Help with some CPT codes
: Michele December 11, 2008, 11:22:01 PM

The 76645 cpt is definitely for the ultrasound of the breast so it should not be used for an office breast exam.  There is not a code for just a breast exam.  If the dr is billing for an E&M visit then it is included in with that.  There are cpt codes for pap smears.  They are:

Screening Pap Smear HCPCS codes: P3000 (technical)
                                                 P3001 (physician code if abnormal)

Diagnostic Pap Smear CPT codes:  88164 (technical)
                                               88141 (physician code if abnormal)


I hope that helps.
Michele

: Re: Need Help with some CPT codes
: billspecial December 12, 2008, 01:44:16 PM

 :) Thank you! Have a great weekend