The National Cervical Screening Program recommends Pap smears be used as the primary method for screening until there is sufficient evidence indicating the effectiveness of new cervical screening technologies.
Reporting HCPCS code Q0091 (Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory). Q0091 is a code developed by Medicare for services provided to Medicare patients. Medicare does not reimburse for comprehensive preventive services, such as those reported with CPT-4 codes 99384 – 99397. Medicare allows payment of code Q0091 as an exception to its general rule since there would otherwise be no reimbursement for the collection service. Providers
should report code Q0091 to Medicare for the collection of screening pap smears for Medicare patients.
However, collection of a diagnostic pap smear for a Medicare patient (performed due to illness, disease, or symptoms indicating a medically necessary reason) is included in the physical examination portion of a problem-oriented E/M service and is not reported or reimbursed separately.
CPT Codes for Pap Smear Screening and Diagnostic Devices
Pap smear procedure codes with detail description are:- CPT code 88141
Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician
- CPT code 88142
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision
- CPT code 88143
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and re screening under physician supervision
- CPT code 88147
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision
- CPT code 88148
Cytopathology smears, cervical or vaginal; screening by automated system with manual re screening under physician supervision
- CPT code 88150
Cytopathology, slides, cervical or vaginal; manual screening under physician supervision
- CPT code 88152
Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted re screening under physician supervision
- CPT code 88153
Cytopathology, slides, cervical or vaginal; with manual screening and re screening under physician supervision
- CPT code 88154
Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted re screening using cell selection and review under physician supervision
- CPT code 88155
Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation
- CPT code 88164
Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision
- CPT code 88165
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and re screening under physician supervision
- CPT code 88166
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted re screening under physician supervision
- CPT code 88167
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted re screening using cell selection and review under physician supervision
- CPT code 88174
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision
- CPT code 88175
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual re screening or review, under physician supervision
HCPCS Codes for Pap Smear Tests
Following HCPCS G codes and P codes use to report for Papanicolaou test:- CPT code G0123
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid,automated thin layer preparation, screening
by cytotechnologist under physician supervision.
- CPT code G0143
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid,automated thin layer preparation, with manual screening and re screening by cytotechnologist under physician supervision
- CPT code G0144
Screening cytopathology, cervical or vaginal (any reporting system),
collected in preservative fluid, automated thin layer preparation, with screening by automated system under physician supervision
- CPT code G0145
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual re screening under physician supervision
- CPT code G0147
Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision
- CPT code G0148
Screening cytopathology smears, cervical or vaginal, performed by automated system with manual re screening
- CPT code P3000
Screening Papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision
- CPT code G0124
Screening cytopathology, cervical or vaginal (any reporting system),collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician
- CPT code G0141
Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual re screening, requiring interpretation by physician
- CPT code P3001
Screening Papanicolaou smear, cervical or vaginal, up to three smears,requiring interpretation by physician
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