About this policy
CMS National Coverage Determination | ncd_id=184 | manual_section=190.2 | coverage_level_code=2 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
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 .)
Documentation requirements
Cross Reference: (See section 210.2 ) Revision History: 03/2006 - Delete duplicate information and insert cross reference. Effective/Implementation date: 06/19/2006. ( TN 48 ) (CR4278) 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) Benefit Categories: 18 - Diagnostic Laboratory Tests Transmittal: transmittal_number=48 | transmittal_issue_date=2006-03-17 | change_request_number=4278
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.