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Preventive Services: Screening Pap Tests

By: Find-A-Code
Published: September 1st, 2017

The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Screening Pap Tests:

HCPCS/CPT Codes

G0123 -	Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision
G0124 -	Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician
G0141 -	Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician
G0143 -	Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision
G0144 -	Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision
G0145 -	Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision
G0147 -	Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision
G0148 -	Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening
P3000 -	Screening Papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision
P3001 -	Screening Papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician
Q0091 -	Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory

ICD-10 Codes

High risk – Z72.51, Z72.52, Z72.53, Z77.29, Z77.9, Z91.89, and Z92.89

Low risk – Z01.411, Z01.419, Z12.4, Z12.72, Z12.79, and Z12.89

Who Is Covered

All female Medicare beneficiaries

Frequency

Annually if at high risk for developing cervical or vaginal cancer or childbearing age with abnormal Pap test within past 3 years
Every 2 years for women at normal risk

Medicare Beneficiary Pays

Copayment/coinsurance waived
Deductible waived

Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.

Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.

References:

CMS: Preventive Services Chart | Medicare Learning Network

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