Q0091

Q0091 | Description, Procedure & Billing Guidelines (2022)

Bill HCPCS Q0091 for screening Papanicolaou smears. This procedure includes obtaining, preparing, and conveying vaginal or cervical smears.

1. What Is HCPCS Code Q0091?

The provider can be billed when a provider takes a cervical or vaginal specimen for a Pap smear, prepares it, and takes it to the lab.

Q0091 applies to patients with no signs, symptoms, or prior history of genital malignancy.

2. Description

HCPCS describes the Q0091 code as: “Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to the laboratory.”

3. Procedure

The Q0091 procedure starts with a provider inserting a speculum into the vagina to hold its walls open, then uses a flat, flexible instrument to remove cells from the cervix, neck of the uterus, and vagina.

The provider places the cells in a fixative material, stains them, then sends them to a laboratory.

In a separately reportable procedure, a technician then examines these cells under a microscope in a laboratory to screen for possible cancers of the female genital tract.

4. Billing Guidelines

Pap smear screens for precancerous or potential cancerous conditions. Pap smears are diagnostic for medicare patients with hysterectomies for cancer. You can report it as part of an Evaluation and Management service (for example, CPT 99213).

5. Resources

https://www.aetna.com/cpb/medical/data/400_499/0443.html

https://www.cms.gov/Outreach-and-Education/Outreach/CMSNewMedia/Preventive

https://stacks.cdc.gov/view/cdc/53434/cdc_53434_DS11.docx

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