We have some discussion regarding pts getting V72.31 with the preventative codes and Q0091. A couple of the insurance companies do not want to pay 99396 as they already pd once this year. Is there somewhere in ACOG that states folks can have their PAP in the GYN office and reg Physical at the internal medicine office. Should I be appending 52 if she has already had the reg Physical? Some of our offices do not want to do paps.Thanks for your help in advance.