Coders: help needed re: preventive Pap claim denial

I am 48(F), live in KS, and have Aetna from the Marketplace.

Aetna denied the interpretive portion of my preventive Pap. After having received conflicting information from Aetna as to the reason why this was denied (I've written about this issue twice before on here), the current denial reason is: "the service Pap smear was already used on date of service XX/XX/XXXX under the claim [from the hospital]. The limit is only one, so the next service will already be your responsibility."

To be clear, I have had only the 1 Pap this year as part of my preventive visit to my OBGYN. There were 3 claims associated with the visit: the provider's claim, the claim from the hospital in which my provider's practice is located, and the claim from the pathologist's lab. All of the claims share the same date of service. Aetna paid the first two claims but denied the third.

Here are the codes:

Provider's claim: 99396 and Q0091.
Hospital's claim: 87624 and 88142.
Pathologist's claim: 88141.

Coders, does this look right to you? Am I right in assuming that Aetna is denying the pathologist's claim because they think it pertains to a second Pap? What should I do?

Thanks for your help!

submitted by /u/Emergency_Bet_1144
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