by Find-A-Code
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 |
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ICD-10 Codes
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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:
Quick, Current, Complete - www.findacode.com