Depends on what exactly is done and the insurance. Also, what exactly does an "annual visit" mean in your office...this can vary!
Q0091- Collection of a pap smear (ONLY)
G0101- Pelvic/Breast exam (ONLY- but must hit 7 of 11 specified bullets)
These are known as "Medicare" codes, but some commercial payers will take them as well.
For a "well woman exam" some commercial payers will want a preventative code (i.e. 99396) with a V72.3 dx.
Medicare does not pay on preventative codes, unless you are doing a "welcome to medicare exam" or an "annual wellness visit...in which you would code those AND code the Q and G codes IF THEY are done at the same time.
If you are doing a COMPLETE PHYSICAL and a pap for medicare...you can carve out
the pap and such from a preventative code (99397) and the patient has to pay the difference.
It can be confusing I agree! Does this help?
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