Pathology Associates Of Lexington, P.A.
Pathology Associates Of Lexington, P.A.
Pathology Associates Of Lexington, P.A.
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        Pap Smear Billing Codes: Screeners' Summary
      

3 Sept. 2003

First Steps:

  1. Is case Medicare or not Medicare?
  2. If Medicare, is it a screening or a diagnostic Pap?

Case is Not Medicare:

  1. Choose code for lab preparation efforts:
    • 88175
    • 88142
    • 88148
    • 88164
  2. Choose code for pathologist's professional interpretation: 88141

Case is Medicare:

  1. It is a screening Pap:
    • Choose code for lab preparation efforts:
      • GO145:
    • Choose code for pathologist's professional interpretation:
      • GO141:
      • P3001:
      • GO124:
      • GO124:
  2. It is a diagnostic Pap:
    • Choose code for lab preparation efforts:
      • 88175:
    • Choose code for pathologist's professional interpretation: 88141
Pap Smear Billing Codes to use beginning September 3, 2003

The descriptions will be changed in CoPath.  We will use the number codes instead of the descriptive codes.  The numbers will appear in the billing fee drop down box to choose from.

  1. Determine if the insurance is Medicare or Non-Medicare (Example BCBS, Cigna, etc.)
  2. Determine if the pap is screening or diagnostic. 
  3. Choose from the following items.

1.    BCBS AND OTHER INSURANCE

88175    Liquid-based Diagnostic OR Screening Pap, Automated & Manual Screen

88142    Liquid-based Diagnostic OR Screening Pap, Manual Screen Only

88148    Conventional Diagnostic OR Screening Pap, Automated & Manual Screen

88164    Conventional Diagnostic OR Screening Pap, Manual Screen Only

Pathologist Professional Fee Code

88141    Pathologist Interpretation any Diagnostic OR Screening Pap

2.    MEDICARE

Medicare Diagnostic Paps

88175    Liquid-based Diagnostic Pap, Automated & Manual Screen

88142    Liquid-based Diagnostic Pap, Manual Screen Only

88148    Conventional Diagnostic Pap, Automated & Manual Screen

88164    Conventional Diagnostic Pap, Manual Screen Only

Medicare Screening Paps

GO145    Liquid-based Screening Pap, Automated & Manual Screen

GO123    Liquid-based Screening Pap, Manual Screen Only

GO148    Conventional Screening Pap, Automated & Manual Screen

P3000     Conventional Screening Pap, Manual Screen Only

Pathologist Professional Fee Code for Medicare Screening Paps

GO141    Conventional Screening Pap which had automated and manual screening

P3001     Conventional Screening Pap with manual screening only

G0124     Liquid-based Screening Pap which had automated and manual screening

G0124     Liquid-based Screening Pap with manual screening only

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