Medicare does not cover the 99397, as you now know.
Usually a Medicare woman will get an exam that is billed with a G0101.
Also if a pap as collected you can bill a Q0091.
These two codes are limited to the actual "womanly parts"...so anything above that will have to billed separately...maybe to the patient in the form of a reduced 99397.
Here is a good link:
I'm curious how you billed the year before? Is she straight Medicare and not a medicare replacement plan right? (some of them cover the 99397)
Your dx is correct. email me if you'd like...I have a cheat sheet I can send you. firstname.lastname@example.org
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