Home » Categories » Laboratory Coding

Pap smear and Urine Cytology


Question

Specimens sent to our facility for a urine cytology (CPT 88108 was charged for this) and Pap smear (CPT 88175) was charged. We are getting a NOT ALLOWED edit stating that 88108 is a component of 88175. Can you explain this?

Answer

I would suggest that you contact the lab to determine if 88108 is the correct code for the urine cytology specimen.  It appears that the CCI edit is not recognizing this code as a separate specimen type from the pap smear.  Is the urine cytology performed using a concentration technique?  If not, a different code assignment would be required.  If the current code assignment is correct, there is no way to get around this edit and you will be paid for the PAP smear only.


Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.

Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Quad Screen
Viewed 850 times since Wed, Nov 23, 2011
New Drug Screen HCPCS Code
Viewed 4110 times since Wed, Nov 17, 2010
Modifier 59 on Pathology Specimens
Viewed 2124 times since Wed, Oct 5, 2011
Nuclear Matrix Protein 22
Viewed 694 times since Wed, Sep 12, 2012
Fingerstick Charging
Viewed 1510 times since Tue, Apr 26, 2011
ER Charging P9612
Viewed 1262 times since Wed, Aug 3, 2011
86580 TB Skin Test
Viewed 8836 times since Fri, Feb 11, 2011
Screening for Hepatitis B
Viewed 11241 times since Wed, Nov 17, 2010
General Health Panel 80050
Viewed 1 times since Wed, Nov 17, 2010
STAT Lab Test
Viewed 4736 times since Wed, Nov 17, 2010
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506