In my practice we only bill the G-codes to Medicare. We usually bill an E&M for any issues the Pt may be having (Sx of menopause, vaginitis, etc..) and the G0101 for pelvic. Also if a pap was obtained we bill a Q0091 for "obtaining pap". For Medicaid & commercial insurance Pt's we bill the preventative E&M for the visit and we send our labs out so we do not bill for them, but it would be a 88142 w/ the Dx V72.31 for routine gyn exam. With Medicare I use Dx V76.2 for screening malignant neoplasms of cervix w/ the G code and the Q code.
I hope this helps a little.
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