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ICD10 codes for anal pap smears in PLHIV

  • 1.  ICD10 codes for anal pap smears in PLHIV

    Posted 12-22-2020 17:50
    Hi all
    My clinic is about to launch a pilot anal pap smear program beginning with our MSM population living with HIV. Wondering what ICD 10 code you all use for this?
    Z12.12
    Encounter for screening for malignant neoplasm of rectum

    looks most appropriate... Are there any pitfalls in getting this preventive screening reimbursed?

    thanks!

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    Nyasha George, MD
    Pronouns: she/her/her


  • 2.  RE: ICD10 codes for anal pap smears in PLHIV

    Posted 02-22-2021 10:29
    I always use Z12.12 with secondary code of B20. I've been doing this since May 2020. To my knowledge, there hasn't been any push back from insurance companies and we haven't have patients complaining about procedure not being covered.

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    Cara Grove
    Georgetown DE
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  • 3.  RE: ICD10 codes for anal pap smears in PLHIV

    Posted 02-22-2021 15:15
    We also use the Z12.12.
    What we found to be useful is the documentation of the visit.    We document "while the patient was in the office, we discussed the importance of anal PAP, and the patient agreed". 

    We found that doing it this way instead of putting in reason for visit, Anal Pap, or anal cancer screeeing etc, we can get it covered.  We only document in the medical decision making section about this.  


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    John Phoenix
    Las Vegas NV
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