Where can I find coverage and billing guidelines for screening pap smears and pelvic exams?

Answer:
The Centers for Medicare & Medicaid Services (CMS) offers many resources to assist you when billing for these services including:

  • CMS MLN Medicare Preventive Services Educational Tool - includes codes, who is covered, frequency, and what the beneficiary pays 
  • CMS MLN Screening Pap Tests and Pelvic Examinations Booklet 
  • CMS IOM Pub. 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 280.4 (PDF, 1.29 MB)
  • CMS IOM Pub. 100-04, Medicare Claims Processing Manual, Chapter 18, Section 30 and 40 (PDF, 1.22)

Contact Railroad Medicare

Email Railroad Medicare

Contact a specific Railroad Medicare department

Provider Contact Center: 888-355-9165

IVR: 877-288-7600

TTY: 877-715-6397

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