Pap smear coding

How do l code a visit to the physician's office for only a pap smear and a UA specimen obtained. It was billed as Q0091 and 81000 without a modifier. Pt had physical 6 days early and only came back for pap as was on her period at the time of her physical. What is the correct way of billing?

re: Pap smear coding

Depends on the insurance and what exactly was done during the pap visit.

If the physician did a complete well-woman exam, examining the female genital organs and breasts, and depending on the insurance, it could be a G0101 or S0610/S0612. Contrary to popular belief, the G-Codes are not only for Medicare and the S-Codes are not only for BCBS. We receive reimbursement from Aetna on the S-Codes. We receive reimbursement from other Commercial plans on the G-codes.

Charlene Endre-Burgett, MS, CMA (AAMA), CPC, CMCS, CHM, CPOM
Administrator, North Scottsdale Family Medicine
Blog: www.charleneburgett.wordpress.com
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