Screening Pap Test

HCPCS Codes

G0123 — 

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision

G0124 — 

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician

G0141 — 

Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician

G0143 — 

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision

G0144 — 

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision

G0145 — 

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision

G0147 — 

Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision

G0148 — 

Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening

P3000 — 

Screening Papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision

P3001 — 

Screening Papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician

Q0091 — 

Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory

ICD-10 Codes

• High risk: R87.612, R87.810, Z72.51, Z72.52, Z72.53, Z77.29, Z77.9, Z84.A, Z91.89, Z91.B, Z92.850, Z92.858, Z92.86, Z92.89
• Low risk: Z01.411, Z01.419, Z12.4, Z12.72, Z12.79, Z12.89

Note: Additional ICD-10 codes may apply. Find individual change requests and specific ICD-10-CM codes on the CMS ICD-10 codes for National Coverage webpage. Find your MAC’s website for more information.

Medicare Covers

Female patients with Medicare Part B

Frequency

• Annually (or 11 months after the month of the last covered exam) for women at high risk for developing cervical or vaginal cancer or of childbearing age with abnormal Pap test within the past 3 years
• Every 2 years (or 23 months after the month of the last covered exam) for low-risk women

Patient Pays

No copayment, coinsurance, or deductible