Ob-Gyn Coding Alert
Confront Diagnostic Pap Smear And Medicare
Question: I know that Q0091 is for screening purposes.-I am trying to find actual documentation on the CMS Web site that states I should include a diagnostic pap in the E/M code and not bill Q0091 in that scenario. Where should I look? Alabama Subscriber Answer: Your carrier will deny Q0091 (Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory) due to Correct Coding Initiative (CCI) edits. CCI bundles all E/M services into Q0091. The only way to bypass the edit is to use modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service). Using this modifier would mean the E/M is separate and significant from the collection (that is, the collection was for a screening pap smear while the E/M involved a problem that ob-gyn dealt with), which is not the case. The purpose of the visit is to evaluate a problem that requires the ob-gyn to collect a diagnostic Pap smear.
Ob-Gyn Coding Alert
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More Than 13 Antepartum Visits
Question: If a pregnant patient has a total of 23 visits due to gestational DM [...] - Reader Questions:
Alert Your Lab to the Impact of Weight
Question: A pathology report comes back with a weight of 309 grams. The specimen included [...] - Reader Questions:
Make This Ectopic Pregnancy Distinction
Question: Patient has an ectopic pregnancy implanted at previous cesarean scar. The ob-gyn treated with [...] - Reader Questions:
Confront Diagnostic Pap Smear And Medicare
Question: I know that Q0091 is for screening purposes.-I am trying to find actual documentation [...] - Reader Questions:
Include Time With Modifiers 52, 53
Question: My ob-gyn attempted hysteroscopic D&C but "after 40 minutes of attempting to find the [...] - Reader Questions:
Avoid This Huge Diagnosis Coding Mistake
Question: The patient came in for clean catch urine (87086).-Dx was back pain (724.2).-Medicare denied [...]
