A Pap smear test (or Pap test) is a common screening procedure for cervical cancer. During the test, a healthcare provider collects cells from the cervix and examines them for any signs of abnormality.
In medical billing, this procedure is assigned a CPT code (Current Procedural Terminology code), which ensures the service is documented and billed correctly. Knowing the right CPT code is important for both healthcare providers and insurance claims processing.
The CPT code can vary depending on the method and purpose of the test:
88141–88155 – Interpretation of cytopathology (Pap smear) by a physician
88164–88167 – Manual screening and interpretation
88174 – Automated thin-layer preparation with screening
88175 – Automated thin-layer preparation with manual rescreening
In most routine screening cases, CPT 88175 is commonly used, especially for liquid-based cytology. However, the exact code may differ based on the laboratory process and whether the test is diagnostic or preventive.
Using the correct CPT code ensures:
Insurance claims are processed without delays
Patients avoid unnecessary billing issues
Medical records remain precise for future reference
Healthcare providers who partner with EZ Settle Solutions benefit from accurate coding practices that reduce errors and speed up reimbursements.
Insurance companies use CPT codes to determine payment eligibility. An incorrect code can cause delays or denials. Our Medical Billing Services ensure that procedures from routine tests like Pap smears to specialized treatments are billed correctly the first time. We also provide guidance on coding updates and compliance, helping providers stay aligned with industry standards, much like in our article on What is the CPT Code for Therapeutic Radiology Treatment Management?. For official guidelines, you can refer to the Medicare CPT Coding Policies, which detail how Pap smear codes should be applied.
Final Thoughts
While a Pap smear is a simple test, its billing process depends heavily on accurate CPT coding. Partnering with a trusted medical billing service like EZ Settle Solutions ensures your claims are handled correctly, quickly, and in compliance with the latest rules.