Have to agree, we just had this same situation and I had to do extensie research on it to prove that we should not be billing the pathology codes. I know when I worked in Family Practice, many times a pt would have to come back due to cycle or whatever for their pap and it was a no charge visit b/c everything was included with the physical. OF course if they start trying to bring up other issues, then you could code E/M with those dx.