annual physical

I want to make sure I am billing correctly. This is still pretty new to me so thank you in advance for all of your help. I have a pt who came in for an annual exam so I will bill a 99395 with a v70.0 dx, so my question is is the q0091 a CPT® code that I add on to the preventative office visit, or is it the code I should be using instead of the 99395? Or is the Q0091 a medicare code only?

re: annual physical

Q0091 is the preparation and handling and conveyance charge for the pap smear. The linkable diagnisis code for this would be V76.2 for cervix or V76.47 for the vagina. 99395 is for V70.0 is for every area except the genetalia. If the doc is also examingin these areas you can add the additional dx codes of V72.31 (gynecological exam) and V76.19 (other screening breast examination)