Does anyone know if you can bill anything other than Q0091 to Medicare for their pap? Normally we bill a wellness based on age however i was told by our previous billing company not to bill 99397 for 65 and older to medicare and i found that to be true from denials. It seems there must be something else you can bill other than Q0091 for a pap to Medicare. I know you can bill an E/M if something separate was done which is most of the time but there are cases where we only do the pap. Anyone have any ideas?