tci Part B Insider - 2011 Issue 21

Part B Coding Coach: Q0091 Won't Do the Trick When Reporting Post- Hysterectomy Pap

Remember: The rules change when malignancy is involved.Warning: The rules for coding standard Paps aren't the same for Medicare patients who underwent a hysterectomy due to malignancy.Avoid botching up your post-hysterectomy claims by following our experts' coding advice for handling these tricky situations.How to Handle Post-Hysterectomy Pap ClaimsProblem: When a Medicare patient returns after a  hysterectomy (for a malignant condition) for follow-up vaginal Pap smears in your office, should you report 99212 or 99213, or should you just report Q0091?Watch out: First of all, you should not report Q0091 (Screening Papanicolaou smear; obtaining, preparing...

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