We have a new IM doc and have never billed for Pap tests before. The doc's husband is questioning their old ways of billing and I'd like to be sure to give him a correct answer. I've been doing a lot of research but would like you expert opinions! Please help! Thanks so much! This is what the doc's office has been doing up until this time:
Scenario 1: Commercial Insurance - annual pap plus management of other medical problems. Office collects the sample and sends it to an outside lab. They are currently billing 992XX (OV) w/ ICD-10s AND 88142 w/ Z01.411 or Z01.419?
Scenario 2: Commercial Insurance - annual pap only. Office collects the sample and sends it to an outside lab. They are currently billing 993XX(prevent med) w/ Z01.411 or Z01.419 AND 88142 w/ Z01.411 or Z01.419?
Scenario 3: Medicare patient - annual pap plus management of other medical problems. Office collects sample and sends it to an outside lab. They are currently billing 992XX (OV) w/ ICD-10s AND G0101 w/ Z01.411 or Z01.419?
Scenario 4: Medicare patient - annual pap only. Office collects the sample and sends it to an outside lab. They are currently billing 993XX(prevent med) w/ Z01.411 or Z01.419 AND G0101 w/ Z01.411 or Z01.419?
Finally, if a repeat pap is performed to confirm an abnormal test result, or because the lab sample didn't contain sufficient cells, how would that be billed to either a commercial or Medicare payer?
Thanks in advance AAPC experts!!!![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Scenario 1: Commercial Insurance - annual pap plus management of other medical problems. Office collects the sample and sends it to an outside lab. They are currently billing 992XX (OV) w/ ICD-10s AND 88142 w/ Z01.411 or Z01.419?
Scenario 2: Commercial Insurance - annual pap only. Office collects the sample and sends it to an outside lab. They are currently billing 993XX(prevent med) w/ Z01.411 or Z01.419 AND 88142 w/ Z01.411 or Z01.419?
Scenario 3: Medicare patient - annual pap plus management of other medical problems. Office collects sample and sends it to an outside lab. They are currently billing 992XX (OV) w/ ICD-10s AND G0101 w/ Z01.411 or Z01.419?
Scenario 4: Medicare patient - annual pap only. Office collects the sample and sends it to an outside lab. They are currently billing 993XX(prevent med) w/ Z01.411 or Z01.419 AND G0101 w/ Z01.411 or Z01.419?
Finally, if a repeat pap is performed to confirm an abnormal test result, or because the lab sample didn't contain sufficient cells, how would that be billed to either a commercial or Medicare payer?
Thanks in advance AAPC experts!!!