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2012 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 8. Physician : 8.2 Services, Benefits, Limitations, and Prior Authorization : 8.2.27 Diagnostic Tests : Cytopathology Studies—Other Than Gynecological
Cytopathology Studies—Other Than Gynecological
Procurement and handling of the specimen for cytopathology of sites other than vaginal, cervical, or uterine is considered part of the client’s E/M and will not be reimbursed separately.
Procedure codes 88160, 88161, and 88162 are reimbursed according to the POS where the cytopathology smear is interpreted.
Procedure codes 88160 and 88161 are denied as part of 88162.
Procedure code 88160 is denied as part of procedure code 88161.

Texas Medicaid & Healthcare Partnership
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