$42.28
Choose Q0091 for collection and handling of the screening Pap specimen. Choose G0101 for a screening pelvic examination; both services may occur at one visit.
On this page
CMS RVU26D · Effective 2026-10-01
Q0091 Pap collection Medicare reimbursement rates in Connecticut
Q0091 reports obtaining and preparing a cervical or vaginal specimen for a screening Pap test and sending it to the laboratory. Compare Q0091 office and facility rates across CMS payment localities in Connecticut.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for Q0091 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$49.09
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$16.36
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Preventive screening
About Q0091: Screening cervical specimen collection
Q0091 reports obtaining and preparing a cervical or vaginal specimen for a screening Pap test and sending it to the laboratory.
Q0091 represents the clinician’s work to obtain a cervical or vaginal specimen for a screening Pap test, prepare it, and send it to the laboratory. It is commonly reported when a physician or other qualified practitioner collects the sample during a preventive gynecologic visit. The code covers specimen acquisition and handling, not cytology interpretation or a separately performed pelvic examination.
Report Q0091 when the collection is for screening, rather than evaluation of symptoms or a known abnormality. Documentation should identify the screening purpose, record that the specimen was collected, and support its preparation and conveyance to the laboratory. G0101 may describe a screening pelvic examination performed at the same visit; the laboratory reports cytology under the code matching its preparation and screening method. CMS assigns physician work and practice-expense values to Q0091, with separate office and facility practice-expense inputs.
Where the value comes from
- Work RVU0.36 · 26%
- Practice expense (office) RVU0.99 · 72%
- Malpractice RVU0.03 · 2%
368.7K
Medicare services in 2024 · #274 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Q0091 compared with similar codes
Office rates for Connecticut, from the same CMS release.
88142
No office rateCytopath c/v thin layer
Q0091 covers obtaining and sending the specimen. 88142 describes the laboratory cytology service performed on a cervical or vaginal specimen.
G0123
No office rateScreen cerv/vag thin layer
Q0091 reports specimen collection. G0123 reports the laboratory’s screening cytology service using thin-layer preparation.
Compare Q0091 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
$49.09
Facility
$16.36
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for Q0091 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
18,050
- Code
- Q0091
- Physician work
- 0.36
- Practice expense
- 0.99
- Malpractice
- 0.03
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.36 | × 1.020 | 0.3672 |
| Practice expense | 0.99 | × 1.077 | 1.0662 |
| Malpractice | 0.03 | × 1.210 | 0.0363 |
| Total RVUs | 1.4697 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$49.09
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.36 | 1.02 |
| Practice expense | 0.99 | 1.077 |
| Malpractice | 0.03 | 1.21 |
(0.36 × 1.02 + 0.99 × 1.077 + 0.03 × 1.21) × $33.4009 = $49.09
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.36 | 1.02 |
| Practice expense | 0.08 | 1.077 |
| Malpractice | 0.03 | 1.21 |
(0.36 × 1.02 + 0.08 × 1.077 + 0.03 × 1.21) × $33.4009 = $16.36
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
Q0091 billing questions
How is Q0091 different from G0101?
Q0091 represents collection and handling of the screening Pap specimen. G0101 represents a screening pelvic examination when that examination is performed and documented.
Does Q0091 include the laboratory's cytology interpretation?
No. Q0091 covers obtaining, preparing, and sending the specimen; the laboratory reports its cytology service under the applicable laboratory code.
Can Q0091 be reported for a diagnostic Pap test?
Q0091 is for obtaining a specimen for screening. When testing is performed to evaluate symptoms or a known abnormality, do not characterize that collection as screening.
What documentation supports Q0091?
Document the screening purpose, the cervical or vaginal specimen collection, and preparation and conveyance of the specimen to the laboratory.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
18,047Q0083,,Chemo by other than infusion,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,048Q0084,,Chemotherapy by infusion,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,049Q0085,,Chemo by both infusion and o,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,050Q0091,,Obtaining screen pap smear,A,,0.36,0.99,,0.08,,0.03,1.38,0.47,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,051Q0092,,Set up port xray equipment,A,,0.00,0.76,,0.76,,0.01,0.77,0.77,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,052Q0111,,Wet mounts/ w preparations,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,053Q0112,,Potassium hydroxide preps,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808