P3001 Screening pap smear by phys

Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for P3001

Physician Fee Schedule (CY 2026, RVU26D)

Status A: active, paid separately under the PFS if covered. National amounts: non-facility $24.05, facility $24.05 (total RVUs 0.72 / 0.72 × $33.4009 conversion factor). Work RVU 0.25, practice expense RVU 0.46 non-facility and 0.46 facility, malpractice RVU 0.01. Global period XXX. Qualifying APM participants are paid at a $33.5675 conversion factor.

Payer policies and prior authorization for P3001

Payer coverage policies that name P3001

P3001 appears in 7 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, BlueCross BlueShield of South Carolina, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaCervical Cancer Screening and Diagnosis (0443)covered if criteria are metJul 22, 2026payer document
AetnaDiagnosis of Vaginitis (0643)not covered (range P3000-P3001)Sep 25, 2026payer document
AetnaInfertility (0327)covered if criteria are metJul 16, 2026payer document
AnthemCervical Cancer Screening Using Cytology and Human Papillomavirus Detection (CG-MED-53)covered if criteria are metFeb 19, 2026payer document
Blue Cross & Blue Shield of MississippiCervical Cancer Screening Technologies With Pap And Hpv (L.2.04.421)covered if criteria are metpayer document
BlueCross BlueShield of South CarolinaCervical Cancer Screening Technologies With Pap and HPV (CAM 314)listed, no stanceOct 1, 2025payer document
Premera Blue CrossPreventive Care
Cervical cancer screening (PAP smear) Includes patient navigation and consult
covered if criteria are metSep 21, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • AZ: $23.22 (physician, AHCCCS PT 09, facility), effective Oct 1, 2025
  • CO: $7.75 (chp_plus, non-facility), effective Jul 1, 2026
  • IL: $15.68 (practitioner), effective Apr 1, 2024
  • MS: $19.65 (comprehensive), effective Jul 1, 2026
  • ND: $26.66 (physician), effective Aug 1, 2026
  • VA: $8.02 (medical), effective Jan 1, 1992
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $14.71 (physician, facility), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.