Wiki gynecology billing

[lesliecoleman]

Help!! I am new to Gynecology coding and could use a little insite. I need some clarification on billing for just the pelvic/breast; PAP.

For Medicare we don't use the regular peventive codes (G0438,G0439) I should use
G0101
Q0091

Do commerical insurance companies pay for the G0101 and Q0091 or do I need to use the preventive codes??

I just want to make sure my doctors are getting the most reimbursement for their services.

Thanks

 

[Anastasia]

There are some Medicare replacement plans that do follow Medicare billing guidelines and some that don't. Check with individual payers to find out how they want these visits billed.