AHA Coding Clinic® for HCPCS - 2008 Issue 4; FOR your INFORMATION

Holding of certain screening pap smear claims billed by Outpatient Prospective Payment System (OPPS) providers

Since September 4, 2008, the Centers for Medicare & Medicaid Services (CMS) has instructed their contractors to hold all claims containing HCPCS code Q0091 submitted by OPPS facilities, due to systems issues related to an incorrect deductible and coinsurance assignment of Screening Pap Smears claims containing Healthcare Common Procedure Coding (HCPCS) code Q0091, (Screening Papanicolaou (Pap) smear, obtaining, preparing and conveyance of cervical or vaginal smear to laboratory), on OPPS claims. These claims will be held by contractors until the successful implementation of the Outpatient Code Editor (OCE), scheduled for January 5, 2009. In the interim, OPPS facilities may...

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