Wiki pap smears

[YOLANDAB]

I have a provider questioning how to code a non medicare (commerical ins) patient who wants a pap smear or pap smear with breast exam without the Willness exam. I've billed and have read that the appropriate way to code is 99213-25, Q0091 depending on payor, I've had them paid without recoupement. Other payors will only paid the office visit. Prefer experience coder reply. Please also give billing for repeat pap scenario.yolieburg@juno.com Thanks

 

[imjsanderson]

I feel if the patient presents for her breat, pap and pelvic and does not want the additional involved in the annual visit, bill the 9939X or 9938X with modifier -52 for reduced services. If she presents for a "repeat" pap then bill the 9921X.