pap smear billing

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Date:Mon, 04 Oct 1999 15:36:45 -0500
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If anyone of you are also involved with managing cytology I hope you can
help me with a question.
We have been informed by medicare that they will no longer pay for 88141,
(requiring interpretation by a physician), unless it is requested by the
clinician.  Has anyone else had this situation come up?  Does this mean
that if a presumed "normal" pap smear is diagnossed by the cyto tech as
abnotmal, (and we are required by CLIA to have it rescreened by a
Pahtoloist ) we will not be paid for the rescreen unless the clinician
requests it?
Anyone who can shed any light please do so.  This does not seem right.
Jan Mahoney
Omaha, NE

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