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Official Description

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision
Short Descr Scr c/v cyto,thinlayer,rescr
Coverage Carrier Priced
Pricing Indicator(s) 21 – Clinical Lab Fee Schedule - Price subject to national limitation amount
MPI A – Not applicable, as HCPCS priced under one methodology
Lab Cert(s) 630 – Cytology
Processing Note SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. (
BETOS T1H – Lab tests - other (non-Medicare fee schedule)
TOS Code(s) 5 – Diagnostic laboratory
Added Date 1/1/1999
Status Code Statutory Exclusion (from MPFS, may be paid under other methodologies)
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
CLIA Waived (QW) No
APC Status Indicator Service Paid under Fee Schedule or Payment System other than OPPS
MUE 1
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 234 - Pathology
GA Waiver of liability statement issued as required by payer policy, individual case
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
Date
Action
Notes
1999-01-01 Added Code added 1/1/1999
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