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Posted By Danielle Levy on 11-13-2020, 14:27:55 in ICD-10
Please advise if the proper coding for a 4 month or 5 month pap should be billed Q0091 with Z12.4 or Z91.89 or with the correct ICD-10 meaning R87.619?
for commercial insurance not medicare
thanks in advance
Comments (1)
Posted By Melanie Witt on 11-15-2020, 15:28:09
First, what is the purpose of the repeat Pap? The two codes you have listed represent different things. Q0091 is not billed for the collection of anything but a screening Pap and this code is rarely used by commercial payers. In fact, CPT has indicated that the collection is part of the E/M service unless you can show significant additional costs to the practice in preparing and sending the specimen off to the lab. If the reason for the repeat is an abnormal initial result, you use that code. If it was due to insufficient cells being collected on the first one you code R87.615 or R87.616. R87.619 shows that this Pap is not a screening Pap, but diagnostic and so would be included in the E/M service billed. Z12.4 would only be used for a screening only Pap which does not seem to be the case here.
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