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Correct Reporting of HCPCS Code Q0091 for Pap Smear Collection

We would like to take this opportunity to remind providers that obtaining a Pap smear is integral to the office visit, including both preventive and routine office visits.  Separate reimbursement is not allowed for HCPCS code Q0091. 

According to the American Congress of Obstetricians and Gynecologists, code Q0091 should not be reported to non-Medicare payers for Pap smear collection, as the collection of a Pap smear is included in the E&M or preventive service. 

The Q0091 code was developed by Medicare for the exclusive purpose of reporting services provided to Medicare patients.  Providers should report this code to Medicare only for the collection of screening Pap smears for Medicare patients. 

For more information regarding Blue Cross and Blue Shield of North Carolina’s corporate medical policy and bundling guidelines, please visit us online

 If you have any questions, please contact the Provider Blue LineSM at 1.800.214.4844.