tci Medicare Compliance & Reimbursement - 2022 Issue Q3

Reader Questions: Append This Modifier for Repeat Pap Smears

Question: A high-risk Medicare patient came in for her annual wellness visit at our ob-gyn practice. The physician did a Pap smear, and the office reported G0101 with Q0091. He ordered a repeat Pap six months later, due to insufficient cells. The patient came back to have the repeat Pap, but she did complain at the visit that she had urinary frequency and pain. The ob-gyn evaluated her for a urinary tract infection (UTI). How should I code the repeat Pap? Should I report it with Q0091 again? Florida Subscriber Answer: Yes. You should report Q0091 (Screening Papanicolaou smear...

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