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2025 HCPCS code G0145

Screening cytopathology, cervical or vaginal, collected in preservative fluid, using automated thin layer preparation, automated system screening, and manual rescreening under physician supervision.

This code specifically applies when an automated thin layer preparation method is used in conjunction with automated system screening and manual rescreening under physician supervision.If different methods are used, other appropriate codes should be selected.

Medical necessity for this screening is determined by factors such as the patient's age, history of previous Pap smears, risk factors for cervical cancer, and current health status.Generally, routine screenings are recommended for women starting at age 21 or when they become sexually active.

The physician is responsible for overseeing the entire process, including the collection of the sample, ensuring proper preparation and analysis by lab personnel, and reviewing the results of both the automated screening and the manual rescreening. The physician makes the final determination regarding any abnormalities.

In simple words: This is a screening test for cervical or vaginal cancer. The doctor collects a sample and it's processed by a machine. A medical professional then double-checks the results to ensure accuracy.

This code represents a screening procedure for cervical or vaginal cytopathology. The process involves collecting the sample in a preservative fluid, preparing it using an automated thin layer method, and then screening it with an automated system.A manual rescreening is then performed under the supervision of a physician to ensure accuracy and identify any abnormalities that the automated system might have missed.This comprehensive approach aims to improve the detection of precancerous and cancerous cells.

Example 1: A 25-year-old woman visits her gynecologist for a routine annual exam, which includes a cervical cancer screening.The sample is collected, processed, and screened using the automated system. It is then manually rescreened under physician supervision., A 40-year-old woman with a history of abnormal Pap smears undergoes a follow-up cervical cancer screening. The G0145 code is used as the sample is processed using the specified automated method and reviewed by the physician., A 60-year-old woman who has not had a Pap smear in several years decides to get screened. The sample is collected and analyzed as described in the code description.

Documentation should include details of sample collection, the method of preparation (automated thin layer), the results of the automated screening, the findings of the manual rescreening, and the physician's interpretation of the combined results.Any abnormal findings should be clearly documented, along with any recommended follow-up procedures.

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