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Official Description

Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening
Short Descr Scr c/v cyto, autosys, 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
GZ Item or service expected to be denied as not reasonable and necessary
Date
Action
Notes
1999-01-01 Added Code added 1/1/1999
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