|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: ASC-USFrom: R. Berg (reb2@nyu.edu)Sat Sep 1 19:45:36 2007
Unfortunately, today, I had just the reverse problem. 5/07 pap, ASCUS, HR HPV *negative* Pt comes in 3 months later, c/o vague pelvic pain x 2 weeks. Exam completely unremarkable. She then asks for a repeat pap, based on the letter I sent her, suggesting that her slightly abnormal pap, although not concerning for dysplasia, should be followed up in 6 months. I declined to perform one, suggesting to her that a repeat in *6* months is probably overdoing it. She left the office (this is 4 days ago). Today, she calls me, *irate*, and tells me that it is her "legal right" and that it is my "legal obligation" to perform a repeat pap smear; furthermore, since she has celiac disease and that this condition is associated with lymphoma, and that her mother had an ovary removed for a nonmalignant condition she *needs* a repeat pap smear now, given that it is only 3 months less than the time I suggested for her to repeat the smear (I guess it's not really a "smear" anymore, more of a "stir" or "swish." Pap Swish doesn't really sound as clinical, I suppose). Again, I declined. She then informed me that her only recourse would be to contact her insurance company to demand that I repeat it. I told her that she can do what she feels necessary, but that her insurance company would likely agree with me, and, in any event, no matter what they said, I would not be repeating the test, as I do not feel that it is medically indicated. So should I have: 1) repeated the smear, coding 795.01, ASC-US on pap, just because she wanted one, or 2) repeated the smear, coding 300.02, generalized anxiety disorder or 300.7, hypochondriasis, or 3) stuck to (and keep sticking to) my guns? ____________________________________________________________________________ Robert E. Berg, MD -- ____________________________________________________________________________ And this affect me, how?
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Sep 2 05:11:21 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.