When patient have an abnormal Pap smear or have signs or symptoms of cervical, uterine or vaginal cancer. Use following CPT codes for Diagnostic Pap smear billing and coding. 88141-88143 88147-88148 88150 88152-88155 88164-88167 Note: Medicare may deny coverage if Low or high risk case are not reported with appropriate Diagnosis code.
Most abnormal Pap smears are caused by certain types of human papillomavirus, or HPV. Frequently, these viruses and the cell changes that they cause on the cervix will go away on their own. However, HPV may stay in the body for many years without causing any signs or symptoms.
PAP smears and HPV testing have the same purpose which is to screen for cervical cancer. Screening aims to detect precancerous changes, which, if not treated, may lead to cancer. Pap smears and HPV screenings test for precancerous cells of the cervix. The cervix is the opening of the uterus (womb). It is part of a woman’s reproductive system.
ICD-10 Code for Unspecified abnormal cytological findings in specimens from cervix uteri- R87. 619- Codify by AAPC.
8 for Abnormal findings on diagnostic imaging of other specified body structures is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
ICD-10 code Z12. 4 for Encounter for screening for malignant neoplasm of cervix is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Abnormal cytological findings in specimens from cervix uteri 61 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM R87. 61 became effective on October 1, 2021. This is the American ICD-10-CM version of R87.
89 Abnormal findings on diagnostic imaging of other specified body structures.
Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder. R93. 41 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R93.
A search in your electronic health record will often find HCPCS code Q0091, “Screening Papanicolaou smear; obtaining, preparing, and conveyance of cervical or vaginal smear to laboratory.” Here's when to use (and when not to use) that code.
411, Encounter for gynecological examination (general) (routine) with abnormal findings, or Z01. 419, Encounter for gynecological examination (general) (routine) without abnormal findings, may be used as the ICD-10-CM diagnosis code for the annual exam performed by an obstetrician–gynecologist.
Z12. 11: Encounter for screening for malignant neoplasm of the colon.
ICD-10-CM Code for High risk human papillomavirus (HPV) DNA test positive from female genital organs R87. 81.
ICD-10 code: Z12. 4 Special screening examination for neoplasm of cervix.
R87.619 is a billable diagnosis code used to specify a medical diagnosis of unspecified abnormal cytological findings in specimens from cervix uteri. The code R87.619 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
When the provider repeats a Pap smear because of an inadequate sample or abnormal results, you’ll report a code from R87.61- Abnormal cytological findings in specimens from cervix uteri.
There’s an impressive list of Excludes1 and Excludes2 notes at the R87.61- level, meaning the list applies to all codes in that subcategory.
Subcategory R87.61- has a lot of codes, so don’t miss two slightly different ones in the middle:
Abnormal pap#N#I code those by what the pathology report said on the previous pap or if you do not have that information then use V72.32 if this pap is normal. Also we use the 99213 code for these repeat paps.
insurance does cover pap's every year (not Medicare UNLESS they're high risk)... and, if they're last pap was abnormal, and that's "why" they are having another pap done ...NOT as a typical annual screening - then, yes - you can and should code the abnormal pap code.
if the pap smear was abnormal a year ago, the dx for this year can't be abnormal. Is the patient doing the pap smear this year as a screening test, then you need to code a screening dx. Insurance will cover a pap smear every year.