National Coverage Determination (NCD)

Diagnostic Pap Smears


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Tracking Information

Publication Number
Manual Section Number
Manual Section Title
Diagnostic Pap Smears
Version Number
Effective Date of this Version
Implementation Date

Description Information

Benefit Category
Diagnostic Laboratory Tests

Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Indications and Limitations of Coverage

CIM 50-20, CIM 50-20.1

A diagnostic pap smear and related medically necessary services are covered under Medicare Part B when ordered by a physician under one of the following conditions:

  • Previous cancer of the cervix, uterus, or vagina that has been or is presently being treated;
  • Previous abnormal pap smear;
  • Any abnormal findings of the vagina, cervix, uterus, ovaries, or adnexa;
  • Any significant complaint by the patient referable to the female reproductive system; or
  • Any signs or symptoms that might in the physician's judgment reasonably be related to a gynecologic disorder.

Screening Pap Smears and Pelvic Examinations for Early Detection of Cervical or Vaginal Cancer. (See section 210.2.)

Cross Reference

(See section 210.2)

Transmittal Information

Transmittal Number
Revision History

07/1990 - Clarified section and title to differentiate its scope from and make it consistent with section on screening pap smears. Effective date NA. (TN 43)

03/2006 - Delete duplicate information and insert cross reference. Effective/Implementation date: 06/19/2006. (TN 48) (CR4278)

Additional Information

Other Versions
Title Version Effective Between
Diagnostic Pap Smears 2 06/19/2006 - N/A You are here
Diagnostic Pap Smears 1 05/15/1978 - 06/19/2006 View