|
| |
ICD-9 Codes for Medicare Pap Smears
- ICD-9 code V76.2 - this code must be used for a
screening Pap smear on a low risk patient. Medicare will only reimburse one screening Pap
smear within two years for the low risk patients.
- ICD-9 code V15.89 – this code is used for a
screening Pap smear for a high risk patient who has not had a Pap smear within the last
year and meets any of the following condition:
Is of child bearing age and has had an examination within the
last three years indicating the presence of cervical or vaginal cancer or other
abnormalities.
Has a history of:
Onset of sexual activity before 16 years of age
Multiple sexual partners
Sexually transmitted disease
Fewer than 3 negative Pap smears within the last 7 years
DES (diethylstilbestrol) –exposed daughters of women who took DES
during pregnancy
The most common ICD-9 codes used for diagnostic Pap smears are:
622.1 for dysplasia of cervix excludes CIS and CIN III
627.1 for postmenopausal bleeding
627.4 for induced menopausal bleeding
626.9 for abnormal uterine bleeding
616.10 for vaginitis, unspecified
182.0 for endometrial carcinoma
180.1 for malignant neoplasm of cervix (squamous cell carcinoma)
183.0 for ovarian carcinoma
054.10 for genital herpes
623.5 for vaginal discharge
626.4 for Irregular menstrual cycle
626.8 for dysfunctional uterine bleeding (DUB)
626.2 for menometrorrhagia or menorrhagia
616.50 for vulva ulcer
795.0 for non specific abnormal Pap of cervix
reviewed by J.Wong
|
