ANNUAL GYN EXAMS AND ANNUAL PAP SMEARS BLUE CROSS / BLUE SHIELD MEDICARE & HAP MEDICAID & COMMERCIAL Billing Code Diagnosis Code Billing Code Diagnosis Code Billing Code Diagnosis Code Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Screen GYN Exam 010053 Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397 V72.31 GYN Annual Exam No separate charges for GYN Exam or PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Preventive Medicine Age Appropriate CPT E/M Code New 99384– 99387 or Established 99394 – 99397 V70.0 Routine Exam Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99395 – 99397 V70.0 Routine Exam Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397 V70.0 Routine Exam Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen No separate charges for GYN Exam or PAP Smear Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 OR CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Appropriate diagnosis to specific chronic illness or problem Appropriate diagnosis to specific chronic illness or problem CPT E/M Office Visit Code New 99202 – 99205+ SE OR Established 99212 – 99215 + SE Appropriate diagnosis to specific chronic illness or problem No separate charges for GYN Exam or PAP Smear ANNUAL GYN EXAMS AND ANNUAL PAP SMEARS BLUE CROSS / BLUE SHIELD MEDICARE & HAP MEDICAID & COMMERCIAL Billing Code Diagnosis Code Billing Code Diagnosis Code Billing Code Diagnosis Code Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Screen GYN Exam 010053 Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397 V72.31 GYN Annual Exam No separate charges for GYN Exam or PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Preventive Medicine Age Appropriate CPT E/M Code New 99384– 99387 or Established 99394 – 99397 V70.0 Routine Exam Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99395 – 99397 V70.0 Routine Exam Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397 V70.0 Routine Exam Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen No separate charges for GYN Exam or PAP Smear Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 OR CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Appropriate diagnosis to specific chronic illness or problem Appropriate diagnosis to specific chronic illness or problem CPT E/M Office Visit Code New 99202 – 99205+ SE OR Established 99212 – 99215 + SE Appropriate diagnosis to specific chronic illness or problem No separate charges for GYN Exam or PAP Smear ANNUAL GYN EXAMS AND ANNUAL PAP SMEARS BLUE CROSS / BLUE SHIELD MEDICARE & HAP MEDICAID & COMMERCIAL Billing Code Diagnosis Code Billing Code Diagnosis Code Billing Code Diagnosis Code Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Screen GYN Exam 010053 Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397 V72.31 GYN Annual Exam No separate charges for GYN Exam or PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Preventive Medicine Age Appropriate CPT E/M Code New 99384– 99387 or Established 99394 – 99397 V70.0 Routine Exam Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99395 – 99397 V70.0 Routine Exam Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397 V70.0 Routine Exam Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen No separate charges for GYN Exam or PAP Smear Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 OR CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Appropriate diagnosis to specific chronic illness or problem Appropriate diagnosis to specific chronic illness or problem CPT E/M Office Visit Code New 99202 – 99205+ SE OR Established 99212 – 99215 + SE Appropriate diagnosis to specific chronic illness or problem No separate charges for GYN Exam or PAP Smear ANNUAL GYN EXAMS AND ANNUAL PAP SMEARS BLUE CROSS / BLUE SHIELD MEDICARE & HAP MEDICAID & COMMERCIAL Billing Code Diagnosis Code Billing Code Diagnosis Code Billing Code Diagnosis Code Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Screen GYN Exam 010053 Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397 V72.31 GYN Annual Exam No separate charges for GYN Exam or PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Complete Head to Toe Annual Exam and Annual PAP Smear Preventive Medicine Age Appropriate CPT E/M Code New 99384– 99387 or Established 99394 – 99397 V70.0 Routine Exam Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99395 – 99397 V70.0 Routine Exam Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397 V70.0 Routine Exam Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen No separate charges for GYN Exam or PAP Smear Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 OR CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Appropriate diagnosis to specific chronic illness or problem Appropriate diagnosis to specific chronic illness or problem CPT E/M Office Visit Code New 99202 – 99205+ SE OR Established 99212 – 99215 + SE Appropriate diagnosis to specific chronic illness or problem No separate charges for GYN Exam or PAP Smear