tci Part B Insider - 2004 Issue 28

Diagnosis Coding: New ICD-9 Codes Bring Pap Smear Coding Up To Date

Remember fifth digit for 11 new codesTired of fumbling for an appropriate code for pap smear results? There's good news coming down the pike. "For years, coders have faced pap results that didn't accurately fit any ICD-9 code description," says Melanie Witt, RN, CPC, MA, an independent coding consultant in Fredericksburg, VA. The Bethesda system of pap smear reporting was updated in 2001 to classify pap smear results with more precision. Possible results include: Unsatisfactory; within normal limits; benign cellular changes; abnormal squamous cell changes of undetermined significance (ASC-US); abnormal squamous cell changes, cannot eliminate high-grade...

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