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2012 Texas Medicaid Provider Procedures Manual

Gynecological and Reproductive Health and Family Planning Services Handbook : 5. Gynecological Health Services : 5.11 Pap Smear (Cytopathology Studies)

5.11 Pap Smear (Cytopathology Studies)
Pap smears are benefits of Texas Medicaid for early detection of cancer. Family planning clients are eligible for annual Pap smears. Procurement and handling of the Pap smear are considered part of the E/M of the client and are not reimbursed separately.
The following procedure codes are reimbursed only to pathologists and CLIA-certified laboratories (whose directors providing technical supervision of cytopathology services are pathologists):
These procedure codes must be billed with the place of service where the Pap smear is interpreted.

Texas Medicaid & Healthcare Partnership
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