Tip: CMS contractors holding Pap smear claims using Q0091 until January
APCs Weekly Monitor, September 12, 2008
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On September 4, CMS stated that it is instructing contractors to hold all claims containing HCPCS code Q0091, effective immediately. (Code Q0091 is Screening Papanicolaou [Pap] smear, obtaining, preparing and conveyance of cervical or vaginal smear to laboratory.)
The delay is due to computer problems affecting claims containing the code, according to the advisory. Contractors will hold the claims until the implementation of the first quarter 2009 Outpatient Code Editor (OCE), scheduled for January 5, 2009.
According to the advisory, OPPS facilities may decide to hold claims with Q0091 until after the January OCE implementation, to avoid reimbursement delays for other services on the claim. CMS will pay interest on clean claims held longer than 30 days after the date of receipt.
Note: Listeners to the next Hospital & Hospital Quality Open Door Forum on October 9 can ask questions about this and other CMS policy. Click here for information.
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