2025 HCPCS code G0147
(Active) Effective Date: N/A Revision Date: N/A Laboratory Services - Cytopathology Screening Miscellaneous Diagnostic and Therapeutic Services Feed
Automated screening of cervical or vaginal cytopathology smears under physician supervision.
Modifiers may apply depending on the circumstances of service. Consult payer guidelines for specific modifier requirements.
Medical necessity for G0147 is established through the patient's age, risk factors, and clinical presentation as deemed appropriate by the ordering physician. This generally aligns with recommended screening guidelines for cervical cancer, such as those from the American Cancer Society and other relevant organizations.
The clinical responsibility lies with the physician who oversees the automated screening process and interprets the results. The physician is responsible for ordering the test, reviewing the automated system's findings, and providing a diagnosis based on the results.
- Miscellaneous Diagnostic and Therapeutic Services
- G0008-G9987 (Miscellaneous Diagnostic and Therapeutic Services)
In simple words: This code covers a lab test that uses a machine to check for abnormal cells in samples from a woman's cervix or vagina. A doctor must oversee the test.It helps find cervical cancer early.
This HCPCS code, G0147, represents the automated screening of cytopathological smears obtained from the cervix or vagina.The screening process utilizes an automated system under the direct supervision of a physician. This procedure involves the analysis of cellular samples to detect abnormalities, aiding in the early detection of cervical cancer.Medicare covers this service annually for its beneficiaries.
Example 1: A 25-year-old female patient presents for her annual well-woman exam, including a Pap smear. The Pap smear is processed using an automated system under the supervision of her gynecologist. Code G0147 is used to bill for the automated screening portion of the Pap smear., A 38-year-old female patient with a history of abnormal Pap smears undergoes a repeat Pap smear. The lab uses an automated screening system for analysis, and the results are reviewed by the patient's oncologist. Code G0147 is used to bill for the automated screening., A 60-year-old female patient presents with vaginal bleeding. Her physician orders a Pap smear and endocervical curettage. The Pap smear is processed using an automated system.G0147 is used to bill the automated screening portion of the Pap smear.
* Patient demographics and medical record number.* Date of service.* Physician's order for the Pap smear.* Specimen collection documentation (specimen type, date, and method of collection).* Lab report indicating the use of an automated screening system and results of the analysis.* Physician's interpretation and diagnosis (if applicable).
** This code is specifically for the automated screening component of cervical or vaginal cytopathology smears.If manual rescreening is performed, a different code (e.g., G0148) would be used.Always confirm payer specific coverage and reimbursement policies.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Pathology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center