Keep in mind that if your doc is performing a well woman exam you have to use the V72.31 with the appropriate preventative code even if the patient is a medicare patient, however, you should be carving out the pap/pelvic exam from this and using V76.2 if the pap is from the cervix or if it is a vaginal pap on a patient who had a hysterectomy for a non malignant condition use V76.47 along with a V8