Wiki Pap Smear for medicare patients

[klp010102]

Can someone help me with the billing of pap smears for medicare patients?

I guess I cant code 9939X for medicare patients and a low risk patient can only have a pap once every 24 months?

 

[dbeaulieu]

Pap smear & Medicare

Hello-

The HCPCS code Q0091 is used to bill Medicare for the obtaining, preparing & conveying the pap specimen, and the G0101 is for the cervical/vaginal cancer screening and the clinical breast/pelvic exam. You can also bill an E/M with a 25 (if there was an encounter separate & identifiable above & beyond the other two codes if there is a medical complaint), or you can bill the 993XX along with the Q0091/G0101. This means once Medicare paid for the G & Q, you would "carve" that amount off the charge for the 993XX, and the patient would be responsible for the difference...