Is this for a Medicare, Medicaid, or commercial patient? SC Medicare will allow you to bill the preventive code with a modifier with Q0091 and G0101, but they will not pay the preventive code, the patient is responsible. Then you have to reduce the amount owed by the patient by the amount paid for the pap and breast/pelvice exam. It gets very tricky! We tried it, made a lot of patients upset over the billing, and finally stopped billing the preventive code and only bill the pap, breast/pelvic, ua, and stool if done.
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