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Updating the Common Working File Editing for Pap Smear (Q0091) and Adding a New Low Risk Diagnosis Code (V72.31) for Pap Smear and Pelvic Examination

Guidance for the claims for the collection of the Pap smear specimen (Q0091) are paying incorrectly when performed outside of Medicare's frequency edits. The Common Working File (CWF) will build a separate edit for Q0091, allowing payment of Q0091 for low risk beneficiaries every 2 years and every year for high risk beneficiaries.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 21, 2005

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.