Advanced Search

Ob-Gyn Coding Alert

News You Can Use:

New V Codes Mean Easier Pay for Pap Smear and Pelvic Exam

Published on Tue Jul 01, 2003

Has your Medicare carrier been denying your Pap smear collection (Q0091) and pelvic exam (G0101) claims recently when submitted with V76.49? Dont worry, because this problem will be resolved soon, according to CMS.
 
Beginning Oct. 1, Medicare carriers will accept V76.47 (Special screening for malignant neoplasms; vagina) and V76.49 (Special screening for malignant neoplasms; other sites) as low-risk diagnoses to support medical necessity for Q0091 (Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory) and G0101 (Cervical or vaginal cancer screening; pelvic and clinical breast examination), according to CMS Program Memorandum AB-03-054 issued May 2. The agency added V76.49 for providers to use for women without a cervix, the memorandum states.
 
To review the program memorandum, go to the CMS Web site at http://www.cms.gov/manuals/pm_trans/ AB03054.pdf.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Ob-Gyn Coding Alert

View All