I have this information from AAP , I know its pediatrics but it does mention physicals and paps for women.Hope it helps
When Performed as Part of a Preventive Medicine Visit
Preventive medicine visit services (99381–99397) include a comprehensive (age- and gender-appropriate) history and physical examination that are not synonymous with the history or physical examination components in problem-oriented codes. The CPT guidelines stipulate that preventive medicine services provided to patients from ages 12 through 39 years (CPT codes 99384/99394 and 99385/99395) include the pelvic and breast examination and obtaining a Pap smear.
The Pap Smear
CPT codes 88141–88154, 88164–88167, 88174, and 88175 are used to report the various methods of Pap smear screening and the physician interpretation. The primary care physician does not report these codes. However, CPT code 99000 (handling or conveyance of specimen for transfer from the physician's office to a laboratory) may be reported in addition to reporting the preventive medicine or problem-oriented visit
Medicare Requirements
Medicare requires that Healthcare Common Procedure Coding System code Q0091 (screening Papanicolaou; obtaining, preparing, and conveyance of cervical and vaginal smear to laboratory) be reported separately with the appropriate E/M service. Some Medicaid programs and commercial payers may also recognize code Q0091 as a separate service. If reporting Q0091, it is not appropriate to also report 99000.
