I am needing help with coding for well woman exams. If it is during the annual exam we use a prev code. It if it a repeat pap, we use 99212-99215. We also do our own lab billing. So if it is during the annual exam, we are coding for the pap (88142) and also the HPV lab (88175). Does both of these fall under the 88142 or should we be coding them separately? Also what dx should we use for the annual exam and also for a repeat pap? Any help is appreciated. I guess I'm just a little confused about it and would like someone to explain coding for this so I know I have the correct understanding. Thanks!!!
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Help?! Well Woman Coding
- Thread starter anne32
- Start date
mitchellde
True Blue
if you are the physician office and are not performing your own lab analysis then you do not bill the 88142 or the 88175 only the visit level either office level or preventive. The dx for annual well woman is the V72.31, you do not add the V76.2 however you do add the V76.47 and/or the V73.81. The repeat PAP if the annual is abnormal is the V72.32
We do our own labs. Is it correct to bill both the 88142 for the pap and the 88175 for the HPV screen? And are these the correct codes? I am also wondering about billing Medicare for the annual exam. For an annual exam is it correct to bill G0101 with a prev visit along with the labs listed above?
SheliaHill
Guest
anne32
MCare pays for a well annual visit (eg: pelvic/breast exam) every two years.
G0101 = V72.31
Q0091 = V76.2
Breast Mamogram order: Dx: V76.12
Provider owned Mammogram office equipment: G0202, 77052
MCare problem pap can be performed x1 annually w/problem diagnosis:
Ascus: 795.0X (x = look for applicable 5th digit)
CIN I: 622.1X (x = look for applicable 5th digit)
MCare/Commercial research recommends patient should have 3 clean paps, before returning to routine/well service coding/billing.
Provider owned office lab:
88142 = thin prep pap screening
88175 = thin prep pap screening, automated system & manual rescreening review
I hope this is helpful.
MCare pays for a well annual visit (eg: pelvic/breast exam) every two years.
G0101 = V72.31
Q0091 = V76.2
Breast Mamogram order: Dx: V76.12
Provider owned Mammogram office equipment: G0202, 77052
MCare problem pap can be performed x1 annually w/problem diagnosis:
Ascus: 795.0X (x = look for applicable 5th digit)
CIN I: 622.1X (x = look for applicable 5th digit)
MCare/Commercial research recommends patient should have 3 clean paps, before returning to routine/well service coding/billing.
Provider owned office lab:
88142 = thin prep pap screening
88175 = thin prep pap screening, automated system & manual rescreening review
I hope this is helpful.