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Ob-Gyn Coding Alert

You Be the Coder:

Repeat Pap Plus Urinary Tract Infection

Published on Fri Nov 11, 2011

Question:  A Medicare patient who is high risk due to sexual behavior came in for her annual wellness visit. The ob-gyn did a Pap, and the office reported G0438/V70.0 with Q0091/V76.2. He ordered a repeat Pap six months later, due to insufficient cells. The patient came back to have the repeat Pap, but she did complain at the visit that she had urinary frequency and pain. The ob-gyn evaluated her for a urinary tract infection (UTI). How should I code the repeat Pap? Should I report it with Q0091 again?Maine SubscriberAnswer: Yes. You should report Q0091 (Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory) for the repeat Pap smear. Don't forget to append modifier 76 (Repeat procedure or service by same physician or other qualified health care professional). Your diagnosis will be V76.2 (Special screening for malignant neoplasms; cervix) if the first smear was [...]
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