HCPCS code P3001 — Screening pap smear by phys. Status: Active. Effective Jan 1, 2002. Source: CMS HCPCS Level II.

P3001

Active

Screening pap smear by phys

Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician

Category: Pathology & Lab
Section: P-codes: Pathology and Laboratory
Effective: Jan 1, 2002
Code type: alphanumeric
OPPS Status: B — Code not recognized by OPPS — billed via another route

MUE — Medically Unlikely Edits

Maximum units of P3001 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 1
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with P3001 without appropriate documentation.

Column 2 Code Modifier
G0123 Modifier cannot bypass edit
G0141 Modifier cannot bypass edit
G0143 Modifier cannot bypass edit
G0144 Modifier cannot bypass edit
G0145 Modifier cannot bypass edit
G0147 Modifier cannot bypass edit
G0148 Modifier cannot bypass edit
G0380 Modifier may bypass edit
G0381 Modifier may bypass edit
G0382 Modifier may bypass edit
G0383 Modifier may bypass edit
G0384 Modifier may bypass edit
G0463 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

NCCI Edits — Reverse Direction

P3001 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code Modifier
G0124 Modifier cannot bypass edit
G0337 Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)