On this page

CMS RVU26D · Effective 2026-10-01

Q0091 Pap collection Medicare reimbursement rates in Minnesota

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 Minnesota.

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 Minnesota?

Minnesota 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

$46.35

1 of 1 localities have a supported rate.

Payment area: Minnesota

One mapped payment locality.

Facility setting

$15.07

1 of 1 localities have a supported rate.

Payment area: Minnesota

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.

Find Q0091 in your payment locality →

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 Minnesota, from the same CMS release.

G0101

Screening pelvic exam

Pelvic and clinical breast exam

$38.76

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.

88142

Cytopath c/v thin layer

No office rate

Q0091 covers obtaining and sending the specimen. 88142 describes the laboratory cytology service performed on a cervical or vaginal specimen.

G0123

Screen cerv/vag thin layer

No office rate

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

Office and facility base rates · shared scale starting at $0

Need rates for a whole code list?

Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.

Explore fee-sheet early access →

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 Minnesota.

PPRRVU2026_Oct_nonQPP.csv

18,050

Code
Q0091
Physician work
0.36
Practice expense
0.99
Malpractice
0.03

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office / nonfacility calculation for Q0091 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.36× 1.0000.3600
Practice expense0.99× 1.0291.0187
Malpractice0.03× 0.2960.0089
Total RVUs1.3876
Conversion factor× 33.4009

Office / nonfacility rate, Minnesota$46.35

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.361
Practice expense0.991.029
Malpractice0.030.296

(0.36 × 1 + 0.99 × 1.029 + 0.03 × 0.296) × $33.4009 = $46.35

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.361
Practice expense0.081.029
Malpractice0.030.296

(0.36 × 1 + 0.08 × 1.029 + 0.03 × 0.296) × $33.4009 = $15.07

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.

RVUs for Q0091PPRRVU2026_Oct_nonQPP.csv, line 18,050 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)