CPT^® 88164, Under Cytopathology Screening Procedures

The Current Procedural Terminology (CPT^®) code 88164 as maintained by American Medical Association, is a medical procedural code under the range - Cytopathology Screening Procedures.

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Summary

The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology slide by screening it manually. He performs the test under a physician’s supervision and reports the results using the Bethesda System.

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Pap Only Visits billing coding pap smear

Hello! Please advise....not sure how to code for pap only visits to Medicaid. Our claim denied - service (99212 & 88164) not allowed for this DX (Z12.4). Thank you in advance!... [ Read More ]

repeat Pap smear

Around my parts, I never heard of any physician actually interpreting the PAPs - it is going to a laboratory and interpreted by a pathologist. If 88164 describes what was done to interpret the PAP, ... [ Read More ]

repeat Pap smear

[QUOTE="csperoni, post: 503271, member: 164618"] Are you doing the lab portion of analyzing the PAP? If so, I believe that would be billable, but have no experience in the lab portion. If you mean Q... [ Read More ]

Lab coding cpt 88141

It doesn't appear so. MUE is 1 so it should only be 1 unit. Maybe they are using the wrong code for whatever the extra unit is being reported for. Parenthetical note is as follows: (Use 88141 in co... [ Read More ]

wellness visits with OB

:confused:I am really struggling on the wellness visits. Physician billed out a 99395 along with 88164, 81002, 81025, and 76801. Everything denied with BCBS. I just need some guidelines or a good we... [ Read More ]

Modifiers with multiple specimens with multiple IHC stains

Just an FYI, the approved modifier list for G0461 and G0462 are: 26, 52, 59, 90, 91, 99, AR, CR, ET, GA, GC, GR, GY, GZ, KX, Q5, Q6, QJ, QP & TC. ***76*** is not an approved modifier for these code... [ Read More ]

Pap Smear for two cervix

NCCI has a MUE for code 88164 and we have a patient who has two cervix. I would bill 88164 on two lines with a modifier 59 on the second line. Has anyone had this situation and would code it different... [ Read More ]

Preventive and Pap Smear

[b]Pap Collection[/b] The following codes are valid for BCBSMS wellness program for a pap smear: 88141-88143 88147 88148 88150 88152-88154 88164-88167 88174 88175 G0123 G0124 G0141 G0143 G0144 G0145... [ Read More ]

Help with Gyn Dx Coding

[QUOTE="Kdailey, post: 218549, member: 47708"]I do not have any signs or symptoms. I only have the physician diagnosis of V72.31, 079.4 and the path report that states " final diagnosis cervical/endo... [ Read More ]

G0101 and Q0091

So I have Medicare claims that are coming through with the pap code of 88164. I am working denial claims and everything that I have seen about Medicare and paps say nothing about code 88164. I am gues... [ Read More ]

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