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PLA Codes

Laboratory Fee Schedule

2019
2018

Physician Fee Schedule

2019
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OPPS Fee Schedule

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ASC Fee Schedule

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CMS Transmittals



National Coverage Determination
Procedure Code: P3001
Screening Pap Smears and Pelvic Examinations for Early Detection of Cervical or Vaginal Cancer
CMS Policy Number: 210.2

See also: Medicare Preventive Services

Back to NCD List

Frequency Limitations:

Every 2 years for all women

Once every 12 months for high risk women.



To review all requirements of this policy, please see: CMS NCD listing by Chapter

Covered ICD-10 Codes.

ICD-10Descriptor
Z01.411 Encntr for gyn exam (general) (routine) w abnormal findings
Z01.419 Encntr for gyn exam (general) (routine) w/o abn findings
Z12.4 Encounter for screening for malignant neoplasm of cervix
Z12.72 Encounter for screening for malignant neoplasm of vagina
Z12.79 Encntr screen for malignant neoplasm of genitourinary organs
Z12.89 Encounter for screening for malignant neoplasm of oth sites
Z72.51 High risk heterosexual behavior
Z72.52 High risk homosexual behavior
Z72.53 High risk bisexual behavior
Z77.29 Contact with and exposure to other hazardous substances
Z77.9 Oth contact w and (suspected) exposures hazardous to health
Z91.89 Oth personal risk factors, not elsewhere classified
Z92.89 Personal history of other medical treatment

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All code-pairs and Medicare coverage information are compiled directly from Center for Medicare and Medicaid Services (CMS) and Medicare Contractor coverage policies. CodeMap® has made every reasonable effort to ensure the accuracy of the information contained. However, the ultimate responsibility for correct coding and claims submission lies with the provider of services. Both CMS and Medicare contractor coverage policy information may change at any time. CodeMap® makes no representation, warranty, or guarantee that this compilation of coverage policy information is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims. Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.


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