Wiki well woman visit pap

[OBcoder2017]

Do I need to be waiting to code my annual exam code diagnosis until AFTER the pap results come back in or do I code the routine exam code because there was no known problem at the time the patient was examined? When a patient's pap comes back abnormal, I have already billed the exam and didn't know if I should be waiting to bill it with the result of the pap. Please advise. Thank you!

 

[mitchellde]

A wellwoman PAP is ordinarily performed for screening so there is no need to wait for a diagnosis because presumably there is not one. Only the V72.31 is needed as the screening V code for cervical screening is inclusive.

 

[kbarron]

In what setting would you use V76.2?

 

[mitchellde]

say family practice where they do a full physical including a PAP for screening you would use the V70.0 and the V76.2

 

[OBcoder2017]

Thank you Debra. I always respect your answers. To further clarify, if a patient comes in for their routine annual exam and HAS had a previous abnormal pap (ASCUS) that further testing ruled out a problem, how should I code the primary diagnosis for the new exam? Our nurses are using a routine V72.31.

 

[mitchellde]

Yes once the abnormal result has been addressed and no issues found then it is a routine well woman

 

[OBcoder2017]

Yes once the abnormal result has been addressed and no issues found then it is a routine well woman

Thank you so much.