NCD190.2

 

DIAGNOSTIC PAP SMEARS

 

Effective Date of this Version

• 6/19/2006

 

Benefit Category

• Diagnostic Laboratory Tests.

• Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

 

Indications and Limitations of Coverage

CIM 50-20, CIM 50-20.1

• A diagnostic pap smear and related medically necessary services are covered under Medicare Part B when ordered by a physician under one of the following conditions:

o Previous cancer of the cervix, uterus, or vagina that has been or is presently being treated.

o Previous abnormal pap smear.

o Any abnormal findings of the vagina, cervix, uterus, ovaries, or adnexa.

o Any significant complaint by the patient referable to the female reproductive system.

o Any signs or symptoms that might in the physician's judgment reasonably be related to a gynecologic disorder.

• Screening Pap Smears and Pelvic Examinations for Early Detection of Cervical or Vaginal Cancer. (See section 210.2.)

 

Cross Reference

• (See section 210.2.)

 

Coverage Transmittal Link

• http://www.cms.gov/transmittals/downloads/R48NCD.pdf

 

Medicare NCD Link