Wiki repeat pap due to insufficient cells

[Kipro]

Is it appropriate to bill insurance for pap collection if it had to be done again because not sufficient cells were collected originally? Thank you

 

[csperoni]

In our practice, we would bill Q0091 again, with diagnosis code R87.615 - unsatisfactory cytologic smear of cervix. In reality, it's not very often, and I would imagine the carriers will bundle it and not pay. But we do bill for it.

 

[Tiffaney]

In our practice, we would bill Q0091 again, with diagnosis code R87.615 - unsatisfactory cytologic smear of cervix. In reality, it's not very often, and I would imagine the carriers will bundle it and not pay. But we do bill for it.

Are you using the Q0091 only with medicare or all insurances?

 

[csperoni]

We use Q0091 for all patients, regardless of insurance. We know that most plans bundle it with the visit, but we still are providing the service, so code for it.