Family PACT Billing Update for CPT-4 Code 88141

Effective for dates of service on or after May 1, 2008, claims billed with CPT-4 Code 88141 (cytopathology, cervical, or vaginal [any reporting system] requiring interpretation by physician) no longer require a pathology report copy for manual review, and may now be reimbursed when billed with a primary and secondary diagnosis code.

Providers should submit claims for code 88141 using a primary diagnosis S-code and a secondary ICD-9-CM diagnosis code within the range of 795.0 Ð 795.09. Claims will be denied unless they include both an acceptable S-code in the primary diagnosis field and a valid secondary diagnosis code.