Our office is having trouble billing Medicare pap's. Medicare does not pay for 99397 but does pay for the G & Q codes for pelvic/breast exam and Medicare Papp. Is that all you bill is the G & Q code or is their a way to incorporate the 99397 and get paid? How is everyone else billing Medicare papps. Most times the Dr is only doing the papp, not a breast exam. Any help would be appreciated. Thanks