Preventative visit for annual pap

In the gyne office patient comes for annual pap, billing 99395 and Q0091 and BlueCross Ill denies, routine not covered, however the patient has 795.01 or 054.10 along with the V72.31. Should the office bill with an established patient E&M with dx primary v codes secondary or with prev code dx primary v code secondary or both prev and E&M code.