Remittance Advice Codes for Screening Pap Smears

by  Jared Staheli
June 29th, 2015

If high risk factors are not present, and the screening Pap smear and/or screening pelvic examination is being denied because the procedure/examination is performed more frequently than allowed, use existing ANSI X12N 835:

• Claim adjustment reason code 119 - “Benefit maximum for this time period has been reached” at the line level, and

• Remark code M83 - “Service is not covered unless the patient is classified as at high risk: at the line item level.


Remittance Advice Codes for Screening Pap Smears. (2015, June 29). Find-A-Code Articles. Retrieved from

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