I'm wondering if anyone can answer this question. I understand the rules for carving out a sick E/M, pap collection, and pelvic/breast exam from a preventive, but we are debating in our office if you would still do that if they have a secondary that would pick up the cost of the preventive? Do we want to carve out and reduce the price if the secondary will pay or is it a legal requirement that if we carve out for one we care out for all regardless of the secondary payer? Any info would be much appreciated!