Narfitygirl
New
We have recently run into an issue in which a patient presents to our practice for their routine GYN exam with pap. As an GYN, we bill out 9938X=9939X with Z01.419/411. Lately, we have been receiving denials stating the patient was seen by another physician for these services (Internal Med/Family Practice). The patient's are insisting they did not have a pap smear, but the insurance company continues to deny our claims. I imagine the FP/IM practices are using the same preventative codes (9938x-9939x) which I believe is appropriate. Here is my question, is there a different CPT or ICD10 code that should be utilized for a preventative visit WITHOUT pap/pelvic exam the IM/FP docs should be using? We cannot submit the G/Q codes as they are MCR codes and not payable by most commercial plans.